| NPI | 1235362195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHURI KOGANTI Owner 575-439-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2009-0573) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-10-16 |