Cross Arrow Medical Group LLC
Nurse Practitioner, Family in Tucumcari, NM. Organization (NPI-2).
NPI number1982106506
StatusActive
Last updated in NPPESMay 7, 2020
Details
- NPI
- 1982106506
- Entity type
- Organization (NPI-2)
- Legal business name
- Cross Arrow Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2018
- Certification date
- May 7, 2020
- Last updated
- May 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
303 E Washington AveTucumcari, NM 88401-3873
Phone 575-461-7901 · Fax 575-461-8728
Mailing address
303 E Washington AveTucumcari, NM 88401-3873
Authorized official
Linda L Sims
Managing Member
5754039125
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