| Pecos Valley Of New Mexico, Llc | |
|
2420 W Pierce St Ste 100 Carlsbad NM 88220-3543 | |
| (505) 628-8837 | |
| 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 | V Karen Flinn (VP) |
| Authorized Official Contact | 3615790315 |
| 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 Ste 100 Carlsbad NM 88220-3543 Ph: (505) 628-8837 | Pecos Valley Of New Mexico, Llc 2420 W Pierce St Ste 100 Carlsbad NM 88220-3543 Ph: (505) 628-8837 |
| NPI Number | 1831141258 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831141258 | NPI | - | NPPES |
| B4739 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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