| NPI | 1386309797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAZARO Medical Director 575-522-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |