KIDNEY WELLNESS CENTER LC NPI 1932848785

NPI Information

KIDNEY WELLNESS CENTER LC is a nephrology internal medicine in Las Cruces, NM. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. KIDNEY WELLNESS CENTER LC NPI is 1932848785. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

755 S TELSHOR BLVD STE 101
LAS CRUCES, NM
ZIP 88011-688
Phone: (575) 496-9501

The provider's authorized official is Osvaldo Rene De La Vega .
The authorized official title is Managing Member and has the following contact phone number (575) 496-9501.

The CLIA number assigned to this NPI record is 32D2277312 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 5/31/2022.

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:

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