| NPI | 1801816293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE MEDINA Office Manager 505-662-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-02-20 |