| NPI | 1578065264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL MARC OSBORN Owner 575-935-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-04-18 |