| NPI | 1104295906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARLEY D FILLMORE President 575-434-1200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM NM2009-0470) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2020-02-28 |