| NPI | 1982657920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI BROOKS CEO 915-544-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| 207V00000X Obstetrics & Gynecology | |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-05-22 |