| NPI | 1629495494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC SOLLER Practice Manager 505-369-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 03287932006) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2025-09-10 |