| NPI | 1730550880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEITHA C BURTON Revenue Cycle Manager 505-539-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM CRNA00580) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2026-03-26 |