Graduated: 2012
NPI: 1194724708
Practice Locations (3)
600 NM HWY 195
ELEPHANT BUTTE, NM 879350449
5757444872
600 NM HWY 195, SUITE A
ELEPHANT BUTTE, NM 879350449
5757444872
PO BOX
ELEPHANT BUTTE, NM 87935
Source: CMS National Downloadable File, September 2026.