| NPI | 1326330739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E HANSEN Director 505-828-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NM A-964-99) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-07-19 |