| NPI | 1750578159 |
|---|---|
| Former Legal Business Name | WALTER FLORES DO |
| Entity Type | Organization |
| Authorized Contact | WALTER FLORES General Practice 505-396-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NM A504-68) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2023-03-07 |