| NPI | 1508183385 |
|---|---|
| Other Name | NEW LIGHT PRIMARY CARE PA |
| Entity Type | Organization |
| Authorized Contact | MARTHA MANQUERO-BUTLER President 915-772-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2022-07-21 |