| NPI | 1295090264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M GARCIA Owner 505-249-7913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 98-268) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2013-03-19 |