| NPI | 1912056904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT TYLER TAYLOR Sole Member 505-661-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 2000-298) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-12-01 |