| NPI | 1316519937 |
|---|---|
| Doing Business As | ACOSTA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVEN L ACOSTA Owner 575-649-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |