| NPI | 1760476139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVED IQBAL Owner/President 575-532-8561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM 92256) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX K2499) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2021-09-14 |