| NPI | 1851976989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODICA CARMEN BROWN Physician Assistant 505-304-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |