| New Mexico Community Psychiatry, Pc | |
|
1916 W 21st St Clovis NM 88101-4026 | |
| (575) 935-2121 | |
| (575) 935-2122 |
| Full Name | New Mexico Community Psychiatry, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1916 W 21st St, Clovis, New Mexico |
| Authorized Official Name and Position | Anne S Ortiz (OWNER) |
| Authorized Official Contact | 5757991412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Community Psychiatry, Pc 1916 W 21st St Clovis NM 88101-4026 Ph: (575) 799-1412 | New Mexico Community Psychiatry, Pc 1916 W 21st St Clovis NM 88101-4026 Ph: (575) 935-2121 |
| NPI Number | 1881881902 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881881902 | NPI | - | NPPES |
| 2885408 | Other | NM | NEW MEXICO REGISTRATION N |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD2007-0653 (New Mexico) | Primary |
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