NPI 1184005860

Nm Optimum Medical Group, LLC

Organisation Specialist Las Cruces, NM

Practice location

Address: 425 S Telshor Blvd # C201b, Las Cruces, NM 88011-8235
Phone: (575) 522-1200
Fax: (575) 288-2063

Authorised official

Name: Marcos Estrada
Title: President
Phone: (575) 522-1200

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MD2012-0160 (NM)

Other Specialist providers in New Mexico →

Registry record

NPI: 1184005860
Entity type: Organization
NPI issued: 17 Jun 2015
Record last updated: 15 Feb 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.