NPI 1396939096

Manuel Pavia Tan, MD

Practitioner General Practice Physician Las Cruces, NM

Practice location

Address: 4351 E Lohman Ave STE 301, Las Cruces, NM 88011-8259
Phone: (575) 532-8900
Fax: (575) 532-8910

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 93164 (NM)

Other General Practice providers in New Mexico →

Registry record

NPI: 1396939096
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2007
Record last updated: 7 May 2008

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.