| NPI | 1780127712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS EDWARD SCHREIBER Owner 575-751-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 2003-0355) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2025-07-08 |