NPI | 1497948863 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES L SIMNACHER Owner 575-762-4463 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NM 211) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2008-12-23 |