NPI 1013322254

Memorial Medical Center

Organisation Family Medicine Physician Las Cruces, NM

Practice location

Address: 2450 S Telshor Blvd, Las Cruces, NM 88011-5069
Phone: (575) 521-5385

Authorised official

Name: Donna Madrid
Title: Asst Coord
Phone: (575) 521-5385

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence RS2014-0575 (NM)

Other Family Medicine providers in New Mexico →

Registry record

NPI: 1013322254
Entity type: Organization
NPI issued: 26 Jun 2014
Record last updated: 26 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.