| NPI | 1699517771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN K JAIN Owner CEO 505-350-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-10-07 |