| NPI | 1922343888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUI DONNELL Business Office Manager 505-323-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NM 88-122) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |