Carmen M Diaz Phd

LBN: Carmen M Diaz Phd
Carmen M Diaz Phd is an health care organization with primary practice located at 2507 N Telshor Blvd Ste A4, Las Cruces NM 88011-8285. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Carmen M Diaz Phd can be contacted via phone (575) 522-5802, or through Chavez, Karla via phone (575) 522-5802.

Contact Information

Primary practice address
2507 N Telshor Blvd Ste A4 Las Cruces NM 88011-8285
Phone: (575) 522-5802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chavez, Karla
Phone: (575) 522-5802

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1144638271
LBN Legal business name Carmen M Diaz Phd
DBA Doing business as
Authorized official Chavez, Karla
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2014
Last updated Dec 2nd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144638271 NPPES
New Mexico MEDICAID 62125729
New Mexico MEDICAID 00679577

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