| NPI | 1902463508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM R HIPSHER-BYRD Administrative Director Of Reimburs 505-609-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207T00000X Neurological Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208800000X Urology | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-07-02 |