| NPI | 1487754735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY K WILLIAMS Principal 505-892-8915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-12-30 |