| NPI | 1326272782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE S TAUSCH Doctor 505-255-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM 20070747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2007-0747) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |