| NPI | 1447127857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXJANDRO C DAVIANO Medical Director 575-935-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172P00000X Naprapath |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |