Dr Terry A Boulware, MD | |
2525 S Telshor Blvd, Bldg 14, Ste 102, Las Cruces, NM 88011-5071 | |
(505) 522-7247 | |
(505) 522-2029 |
Full Name | Dr Terry A Boulware |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 47 Years |
Location | 2525 S Telshor Blvd, Las Cruces, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730112558 | NPI | - | NPPES |
33087512 | Medicaid | NM | |
NM009V60 | Other | NM | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD2005-0138 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gerald Champion Regional Medical Center | Alamogordo, NM | Hospital |
Memorial Medical Center | Las cruces, NM | Hospital |
Mountain View Regional Medical Center | Las cruces, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Three Crosses Regional Hospital Llc | 1254758667 | 46 |
Otero County Hospital Association | 3173516606 | 142 |
Entity Name | Southwest Heart Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265502298 PECOS PAC ID: 2163458043 Enrollment ID: O20050712000795 |
Entity Name | Otero County Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
Entity Name | Sierra Vista Hospital 69 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090218000155 |
Entity Name | Sierra Vista Hospital 69 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090227000341 |
Entity Name | Three Crosses Regional Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487248050 PECOS PAC ID: 1254758667 Enrollment ID: O20210405001637 |
Entity Name | Three Crosses Cardiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174198782 PECOS PAC ID: 4789053877 Enrollment ID: O20221213000119 |
Mailing Address | Practice Location Address |
---|---|
Dr Terry A Boulware, MD 2525 S Telshor Blvd, Bldg 14, Ste 102, Las Cruces, NM 88011-5071 Ph: (505) 522-7247 | Dr Terry A Boulware, MD 2525 S Telshor Blvd, Bldg 14, Ste 102, Las Cruces, NM 88011-5071 Ph: (505) 522-7247 |
Dr. Craig Frederick Cannon, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4351 E Lohman Ave Ste 201, Las Cruces, NM 88011 Phone: 575-522-2233 Fax: 575-522-2266 | |
Azim Saquib, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1160 Mall Dr, Las Cruces, NM 88011 Phone: 575-521-3270 | |
Hugo Daniel Gonzalez, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4351 E Lohman Ave Ste 300, Las Cruces, NM 88011 Phone: 575-556-7600 | |
Louis M Benevento, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-522-0423 Fax: 575-556-0201 | |
Paul Feil, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2437 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-2777 Fax: 575-522-4532 | |
Zachary Powell Lang, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7600 | |
Ikrita Kaur Klair, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4351 E Lohman Ave Ste 211, Las Cruces, NM 88011 Phone: 575-556-8950 Fax: 575-556-8955 |