ESPES EST,LLC

GALLUP, NM
NPI1528359148
Doing Business AsGALLUP NEUROLOGY
Entity TypeOrganization
Authorized ContactFLOR JARASA CABALLAR GONZAGA
Organizer/Member
505-870-9647
Organization Subpart ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NM  97-23)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: NM  97-60)
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: NM  97-23)
2084S0012X Psychiatry & Neurology, Sleep Medicine
(Licence: NM  97-23)
Enumeration Date2011-04-29
Last Update Date2011-10-28
Business Address
ESPES EST,LLC
1211 E AZTEC AVE
GALLUP, NM 87301-4901
Phone number: 505-870-9647
Mailing Address
ESPES EST,LLC
1070 RANCHO RD
GALLUP, NM 87301-7036
Phone number: 505-870-9647