| Organization Name: | AZTEC URGENT CARE, LLC |
| NPI Number: | 1063741163 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN WILLIAM CARTIER (OWNER) |
| Mailing Address: | 604 S Rio Grande Ave Aztec |
| State: | NM US |
| Postal Code: | 874102260 |
| Phone Number: | 5053342664 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2009 |
| NPI Last Update Date: | 12/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |