| NPI | 1801106877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MICHAEL PHILIPS Cso 505-609-6025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |