| NPI | 1932600673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK CARDENAS Medical Director 505-433-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-02-06 |