| NPI | 1629273305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E ENRIQUEZ Office Manager 915-532-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-11-07 |