Pecos Valley Of New Mexico, Llc | |
2430 W Pierce St Carlsbad NM 88220-3553 | |
(505) 628-3244 | |
Not Available |
Full Name | Pecos Valley Of New Mexico, Llc |
---|---|
Speciality | General Practice |
Location | 2430 W Pierce St, Carlsbad, New Mexico |
Authorized Official Name and Position | Debbie T Brewer (DIRECTOR) |
Authorized Official Contact | 8778929813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pecos Valley Of New Mexico, Llc 2420 W Pierce St Suite B Carlsbad NM 88220-3543 Ph: (505) 628-3244 | Pecos Valley Of New Mexico, Llc 2430 W Pierce St Carlsbad NM 88220-3553 Ph: (505) 628-3244 |
NPI Number | 1194781021 |
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Provider Enumeration Date | 04/20/2006 |
Last Update Date | 02/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194781021 | NPI | - | NPPES |
16050363 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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