NPI 1124406269

Internal Medicine Premium Health Care PC

Organisation Internal Medicine Physician Las Cruces, NM

Practice location

Address: 525 E Lohman Ave STE D, Las Cruces, NM 88001-3394
Phone: (525) 652-4426
Fax: (525) 222-0025

Authorised official

Name: Wendi Lashea Glason Darag
Title: MD, Owner
Phone: (575) 652-4426

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD2013-0836 (NM)

Other Internal Medicine providers in New Mexico →

Registry record

NPI: 1124406269
Entity type: Organization
NPI issued: 8 May 2015
Record last updated: 10 Oct 2017

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.