Endoscopy Center Of Las Cruces
Clinic/Center, Endoscopy in Las Cruces, NM. Organization (NPI-2).
NPI number1700839628
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1700839628
- Entity type
- Organization (NPI-2)
- Legal business name
- Endoscopy Center Of Las Cruces
- Organization subpart
- No
- Enumeration date
- May 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | 6793 | NM | Yes |
Practice location
2407 S Telshor BlvdLas Cruces, NM 88011-5049
Phone 505-522-7697
Mailing address
2407 S Telshor BlvdLas Cruces, NM 88011-5049
Phone 505-522-7697
Authorized official
Prasad V Podila
Ceo
5055227697
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