| NPI | 1699407072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A MARTIN Owner/CEO 505-709-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2022-06-25 |