| NPI | 1982890075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY MILLER President 505-622-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50651) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NM 470A) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |