| NPI | 1033163076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY VELASQUEZ Office Manager 575-622-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 0180602500) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2025-10-28 |