| NPI | 1750687190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B CULP Member 575-234-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NM R57579) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-07-25 |