Provider Type Icon

LAS CRUCES PHYSICIAN PRACTICES LLC NPI 1851574248


NPI Information

NPI: 1851574248
Provider Name: LAS CRUCES PHYSICIAN PRACTICES LLC

Doing Business As: MMC PHYSICIAN ASSISTANTS

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2450 S TELSHOR BLVD
LAS CRUCES, NM
ZIP 88011
Phone: (505) 521-5277
Get Directions

LAS CRUCES PHYSICIAN PRACTICES LLC is a surgical physician assistant in Las Cruces, NM. LAS CRUCES PHYSICIAN PRACTICES LLC NPI is 1851574248. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mmc Physician Assistants.

The provider's business location address is:

2450 S TELSHOR BLVD
LAS CRUCES, NM
ZIP 88011-069
Phone: (505) 521-5277

The provider's authorized official is Angie Mangum .
The authorized official title is Director Physician Services and has the following contact phone number (505) 521-5277.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 6/30/2008.


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
1363AS0400XPhysician AssistantSurgicalYes

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 PINNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.