| NPI | 1982825667 |
|---|---|
| Doing Business As | PASSPORT HEALTH NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | NANCI BALDWIN Co Owner 505-881-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: NM 03-035189-008) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-09-23 |