| NPI | 1689393746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI LYNN WACKER Revenue Cycle Manager 575-302-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-12-12 |