| NPI | 1922665108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN G BECERRA Owner 915-249-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-03-28 |