| Las Cruces Family Medicine Llc | |
|
2930 Hillrise Dr Suite 2 Las Cruces NM 88011-4776 | |
| (575) 532-1111 | |
| (575) 532-1122 |
| Full Name | Las Cruces Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2930 Hillrise Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Imran Raza (M.D./OWNER) |
| Authorized Official Contact | 5755321111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Cruces Family Medicine Llc 2930 Hillrise Dr Suite 2 Las Cruces NM 88011-4776 Ph: (575) 532-1111 | Las Cruces Family Medicine Llc 2930 Hillrise Dr Suite 2 Las Cruces NM 88011-4776 Ph: (575) 532-1111 |
| NPI Number | 1700197001 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 04/29/2011 |
| Medicare PECOS PAC ID | 6305029513 |
|---|---|
| Medicare Enrollment ID | O20110325000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700197001 | NPI | - | NPPES |
| 53376081 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2010-0103 (New Mexico) | Primary |
| Provider Name | Imran Raza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336318591 PECOS PAC ID: 5890979660 Enrollment ID: I20110404000482 |
Southwest Center On Aging Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2467 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-647-8366 Fax: 575-647-8381 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Harry Bass, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-0330 Fax: 575-522-8620 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Rhsnm Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4441 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-521-6400 | |
Smart Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Missouri Ave Ste 12, Las Cruces, NM 88011 Phone: 575-522-6900 Fax: 575-522-8891 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7600 Fax: 629-216-0568 |