| NPI | 1154027654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR OSMANI Medical Director/Owner 575-623-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |