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LAS CRUCES PHYSICIAN PRACTICES LLC NPI 1346586195


NPI Information

NPI: 1346586195
Provider Name: LAS CRUCES PHYSICIAN PRACTICES, LLC

Doing Business As: NEW MEXICO CARDIAC CARE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 32D0964018

Address:
1160 MALL DR
SUITE 100
LAS CRUCES, NM
ZIP 88011
Phone: (575) 521-3270
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LAS CRUCES PHYSICIAN PRACTICES, LLC is a cardiovascular disease internal medicine in Las Cruces, NM. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LAS CRUCES PHYSICIAN PRACTICES, LLC NPI is 1346586195. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As New Mexico Cardiac Care.

The provider's business location address is:

1160 MALL DR
SUITE 100
LAS CRUCES, NM
ZIP 88011-128
Phone: (575) 521-3270
Fax: (575) 521-3504

The provider's authorized official is Angie Mangum .
The authorized official title is Director and has the following contact phone number (615) 565-1898.

The CLIA number assigned to this NPI record is 32D0964018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 2/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1900522525MEDICARE UPINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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