| NPI | 1881089886 |
|---|---|
| Doing Business As | SOUTHWEST PEDIATRIC CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | JOEL RENE ROQUE COO / Co Owner 575-936-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-05-16 |