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 |