| NPI | 1871814921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELILAH R PRIETO Administrator 575-522-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 3020) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |