| NPI | 1336464429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK VILLANUEVA GALLEGOS Physician/Owner 505-429-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 90-42) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |