| NPI | 1124579958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI M GHAFFARI President 575-762-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 81202) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |