| NPI | 1871922807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS CHARLES RUDD President 505-292-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM DD3881) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |