| NPI | 1780859470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE FUEMMELER O.D. Owner 505-293-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM 525) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2012-03-30 |