| NPI | 1679239180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD OWEN JANKE Medical Director 915-248-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251S00000X Community/Behavioral Health | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 291U00000X Clinical Medical Laboratory | |
| 333300000X Emergency Response System Companies | |
| 3416L0300X Ambulance, Land Transport | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-12-15 |