Major Consult Clinic | |
3885 Foothills Rd Suite B Las Cruces NM 88011-4672 | |
(575) 556-9837 | |
Not Available |
Full Name | Major Consult Clinic |
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Speciality | Clinic/Center |
Location | 3885 Foothills Rd, Las Cruces, New Mexico |
Authorized Official Name and Position | Chibuzo Ukaegbu (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 5755569837 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Major Consult Clinic Po Box 13969 Las Cruces NM 88013-3969 Ph: () - | Major Consult Clinic 3885 Foothills Rd Suite B Las Cruces NM 88011-4672 Ph: (575) 556-9837 |
NPI Number | 1699193656 |
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Provider Enumeration Date | 04/06/2014 |
Last Update Date | 07/07/2018 |
Medicare PECOS PAC ID | 1153540026 |
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Medicare Enrollment ID | O20140909000754 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699193656 | NPI | - | NPPES |
16678818 | Medicaid | NM |
Provider Name | Chibuzo O Ukaegbu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104011444 PECOS PAC ID: 1759430812 Enrollment ID: I20090519000682 |
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