| NPI | 1649251679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT M KWAN Owner 575-762-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 3042) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2016-04-04 |