| NPI | 1720310659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLA TRUJILLO Licensing COO Rdinator 505-332-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |