NPI | 1417212903 |
---|---|
Doing Business As | UNION MEDICAL |
Entity Type | Organization |
Authorized Contact | GONZALO CORONA Director 575-578-4815 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NM MD2007-0650) |
Additional Taxonomies | 208D00000X General Practice (Licence: NM MD2007-0650) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2018-11-20 |