NPI | 1669780904 |
---|---|
Doing Business As | PORTALES QUICK CARE |
Entity Type | Organization |
Authorized Contact | BERT W WOFFORD Principal 575-226-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2010-09-21 |
Last Update Date | 2010-09-22 |