| Reef Medical Clinic | |
|
5805 Mcnutt Rd Ste D Santa Teresa NM 88008-8001 | |
| (575) 265-1717 | |
| Not Available |
| Full Name | Reef Medical Clinic |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 5805 Mcnutt Rd, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Christian Lira (MANAGER) |
| Authorized Official Contact | 9152023232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reef Medical Clinic 205 W Boutz Rd Bldg 1 Las Cruces NM 88005-3262 Ph: (575) 532-7000 | Reef Medical Clinic 5805 Mcnutt Rd Ste D Santa Teresa NM 88008-8001 Ph: (575) 265-1717 |
| NPI Number | 1417489378 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 06/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417489378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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