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PANGEA MEDICAL LLC NPI 1255786703


NPI Information

NPI: 1255786703
Provider Name: PANGEA MEDICAL LLC

Doing Business As: PANGEA MEDICAL

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1700 N UNION AVE
ROSWELL, NM
ZIP 88201
Phone: (575) 208-0224
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PANGEA MEDICAL LLC is a psychiatry psychiatry neurology in Roswell, NM. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PANGEA MEDICAL LLC NPI is 1255786703. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pangea Medical.

The provider's business location address is:

1700 N UNION AVE
ROSWELL, NM
ZIP 88201-267
Phone: (575) 208-0224
Fax: (575) 616-5626

The provider's authorized official is Steven R Black .
The authorized official title is Managing Member and has the following contact phone number (575) 779-1007.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 1/10/2019.


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
1207R00000XInternal MedicineMD2011-0547NEW MEXICONo
22084P0800XPsychiatry & NeurologyPsychiatryMD2011-0547NEW MEXICOYes

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: 11/14/2023

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