| Pecos Valley Of New Mexico, Llc | |
|
2420 W Pierce St Suite 200 B Carlsbad NM 88220-3543 | |
| (505) 628-1589 | |
| Not Available |
| Full Name | Pecos Valley Of New Mexico, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2420 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 2430 W Pierce St Carlsbad NM 88220-3553 Ph: (505) 628-1589 | Pecos Valley Of New Mexico, Llc 2420 W Pierce St Suite 200 B Carlsbad NM 88220-3543 Ph: (505) 628-1589 |
| NPI Number | 1326004755 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326004755 | NPI | - | NPPES |
| 61981273 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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