| NPI | 1376925164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L LOBATO Manager 505-884-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 76-18) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |