| NPI | 1124067525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED A LOVATO Owner 505-247-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 3081) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-03-24 |