| NPI | 1790185577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD H TALIAFERRO President 505-238-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NM MD2004-0796) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2024-06-05 |