| 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 |