| NPI | 1972941474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR NIZAR OSMANI Owner 575-623-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM 2002-0310) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NM 2002-0310) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NM 2002-0310) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2015-01-27 |