| NPI | 1962537027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S CASKEY Owner 505-982-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM MD2006-0456) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NM MD2006-0456) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-02-09 |