| NPI | 1912173691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON LUIS MARQUEZ Physician Owner 575-522-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 74199) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-07-11 |