NPI | 1326598541 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL L HURST President/Owner 575-420-0877 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
207QS0010X Family Medicine Sports Medicine | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
2083S0010X Preventive Medicine Sports Medicine | |
208VP0000X Pain Medicine Pain Medicine | |
208VP0014X Pain Medicine Interventional Pain Medicine | |
213EP1101X Podiatrist Primary Podiatric Medicine | |
235Z00000X Speech-Language Pathologist | |
291U00000X Clinical Medical Laboratory | |
363AM0700X Physician Assistant Medical (Licence: NM PA2013-0094) | |
364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
Enumeration Date | 2016-10-12 |
Last Update Date | 2016-10-12 |