| NPI | 1356660252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARLEY D FILLMORE President 575-434-1200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 6134) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |