| NPI | 1881069995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN V HURT Administrator/President 575-392-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2017-04-13 |