Indian Wells Family Practice

LBN: Dan Moezzi Md Pc
Indian Wells Family Practice is an health care organization with primary practice located at 2474 Indian Wells Rd , Alamogordo NM 88310-3831. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dan Moezzi Md Pc can be contacted via phone (575) 443-0339, or through Moezzi, Dan H via phone (575) 443-0339.

Contact Information

Primary practice address
2474 Indian Wells Rd Alamogordo NM 88310-3831
Phone: (575) 443-0339
Fax: (575) 434-5624
Website:
Map and Directions
Authorized official contact:
Name: Moezzi, Dan H Doctor of Medicine (MD)
Phone: (575) 443-0339

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 95-302 New Mexico

Profile Details

NPI number 1962415364
LBN Legal business name Dan Moezzi Md Pc
DBA Doing business as Indian Wells Family Practice
Authorized official Moezzi, Dan H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Feb 21st, 2010 - about 14 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 1962415364 NPPES
New Mexico MEDICAID H1455
New Mexico Other 201017118
New Mexico Other NM004493

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