| NPI | 1376891762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON W. HEDGES President 505-345-3572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NM A62474) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |