Las Cruces Physician Services LLC
Orthopaedic Surgery in Las Cruces, NM. Organization (NPI-2).
NPI number1215079678
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1215079678
- Entity type
- Organization (NPI-2)
- Legal business name
- Las Cruces Physician Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2007
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 77-108 | NM | Yes |
| 207T00000X | Neurological Surgery | 2001-213 | NM | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – |
Practice location
4351 E Lohman AveSuite 200
Las Cruces, NM 88011-8259
Phone 505-556-7737
Mailing address
4000 Meridian BlvdFranklin, TN 37067-6325
Phone 615-465-7000
Authorized official
Jennifer L Jackson
Senior Director, Enrollment
8778929815
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