| NPI | 1902921182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND KENT SANCHEZ Sole Proprietor 505-864-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-05-06 |