| Senior Psychcare Of New Mexico, Llc | |
|
1402 W Gilchrist Ave Artesia NM 88210-1134 | |
| (713) 850-0049 | |
| Not Available |
| Full Name | Senior Psychcare Of New Mexico, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1402 W Gilchrist Ave, Artesia, New Mexico |
| Authorized Official Name and Position | Randall J Frapart (CFO) |
| Authorized Official Contact | 7138500049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Psychcare Of New Mexico, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychcare Of New Mexico, Llc 1402 W Gilchrist Ave Artesia NM 88210-1134 Ph: (713) 850-0049 |
| NPI Number | 1689374811 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 9234599176 |
|---|---|
| Medicare Enrollment ID | O20230724002641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689374811 | NPI | - | NPPES |
| Provider Name | Victoria Forsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255831210 PECOS PAC ID: 9830452242 Enrollment ID: I20230724003339 |
| Provider Name | Justin Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972551398 PECOS PAC ID: 4486638764 Enrollment ID: I20240124000076 |
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