| NPI | 1659720472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA TAFOYA Biller And Coding Manager 915-875-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX Q7094) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-23 |