| NPI | 1578380911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRUS ABBASI Owner 505-312-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |