| NPI | 1700814316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ACOSTA Practice Administrator 505-291-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM 0603127) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-07-25 |