| NPI | 1750893335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUL BURCIAGA-MOLINAR Owner 575-680-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2023-08-03 |