| NPI | 1861720757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LESTER Managing Member 505-453-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NM 89-270) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |