| NPI | 1659669158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA GAYLE CHAVEZ Owner 505-880-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM 91-18) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |