| NPI | 1548404825 |
|---|---|
| Doing Business As | PINERIDGE-URGENT CARE & MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | AMIR H MANOUTCHEHRI Physician/Owner 505-407-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NM 87108) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: NM 87-108) |
| 261QP2300X Clinic/Center, Primary Care (Licence: NM 87108) | |
| 207P00000X Emergency Medicine (Licence: NM 87108) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2014-07-21 |