Southwest Medical Clinic INC
NPI #1144468075 in Bosque Farms, New Mexico
Provider Information
- NPI Number
- 1144468075
- Entity Type
- Organization
- Organization Name
- Southwest Medical Clinic INC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 30, 2009
- Last Updated
- May 26, 2009
Practice Location
- Address
- 2230 BOSQUE FARMS BLVD
- City
- Bosque Farms
- State
- New Mexico
- ZIP Code
- 87068-9334
- Phone
- (505) 869-0300
Authorized Official
- Name
- MRS. FATEMEH MANSOORI, FNP
- Title
- OWNER/ PROVIDER
- Phone
- (505) 869-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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