| NPI | 1376599936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA TASNEEM MAMDANI Owner 505-232-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM NM 472) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-08-14 |