| NPI | 1508510199 |
|---|---|
| Doing Business As | NEW MEXICO URGENT CARE- JUAN TABO |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD NAEEM AHMAD Medical Director 734-890-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |