La Victoria Health For All, Llc | |
3830 N Grimes St Suite G Hobbs NM 88240-1279 | |
(575) 397-3362 | |
(575) 397-0293 |
Full Name | La Victoria Health For All, Llc |
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Speciality | General Practice |
Location | 3830 N Grimes St, Hobbs, New Mexico |
Authorized Official Name and Position | Maria Ndey (PROVIDER) |
Authorized Official Contact | 5753973362 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Victoria Health For All, Llc 3830 N Grimes St Suite G Hobbs NM 88240-1279 Ph: (575) 397-3362 | La Victoria Health For All, Llc 3830 N Grimes St Suite G Hobbs NM 88240-1279 Ph: (575) 397-3362 |
NPI Number | 1225376320 |
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Provider Enumeration Date | 01/23/2013 |
Last Update Date | 05/18/2013 |
Medicare PECOS PAC ID | 8527205152 |
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Medicare Enrollment ID | O20130518000117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225376320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD20120430 (New Mexico) | Primary |
Provider Name | Maria Assumpta Ndey |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1619188034 PECOS PAC ID: 9931358512 Enrollment ID: I20130520000094 |
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