| NPI | 1477581031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRIDHAR REDDY ANIREDDY President 575-434-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 20020255) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-02-20 |