| NPI | 1821168998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTIE A TENORIO Practice Administrator 505-875-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NM 2003-0491) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NM MD2011-0010) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-07-30 |