NPI | 1508179144 |
---|---|
Doing Business As | MESA FAMILY AND URGENT CARE CLINIC |
Entity Type | Organization |
Authorized Contact | HERBERT UZOMA OJIAKU President 575-887-0080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NM 4313490) |
Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: NM 4313490) |
Enumeration Date | 2010-07-25 |
Last Update Date | 2010-07-25 |