| NPI | 1336543115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA O BLACK Md, P.A Dba Quadra Health Institue 505-923-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NM PA2014-0059) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |