| NPI | 1275239733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE O'HARE Owner 575-760-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-03-14 |