| NPI | 1811377047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO DELA TORRE Medical Director 575-532-1334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 03248653007) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |