| |
109 E 5th St, Roswell, NM 88201-6205 | |
(575) 622-2887 | |
(575) 622-3379 |
Full Name | |
---|---|
Type | Facility |
Speciality | Hearing Instrument Specialist |
Location | 109 E 5th St, Roswell, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457400384 | NPI | - | NPPES |
NM00TB54 | Other | NM | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (New Mexico) | Secondary |
237700000X | Hearing Instrument Specialist | 470A (New Mexico) | Primary |
332S00000X | Hearing Aid Equipment | 470A (New Mexico) | Secondary |
Mailing Address | Practice Location Address |
---|---|
109 E 5th St, Roswell, NM 88201-6205 Ph: (575) 622-2887 | 109 E 5th St, Roswell, NM 88201-6205 Ph: (575) 622-2887 |