Family Practice Medical And Dietetic Medical Therapy

LBN: Family Practice Medical And Dietetic Medical Therapy
Family Practice Medical And Dietetic Medical Therapy is an health care organization with primary practice located at 2904 Hillrise Dr , Las Cruces NM 88011-4702. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Family Practice Medical And Dietetic Medical Therapy can be contacted via phone (575) 532-5386, or through Rosales, Jose via phone (575) 532-5386.

Contact Information

Primary practice address
2904 Hillrise Dr Las Cruces NM 88011-4702
Fax: (575) 532-5449
Website:
Authorized official contact:
Name: Rosales, Jose Nurse Practitioner (NP)

Health care specialties

Profile Details

NPI number 1609199447
LBN Legal business name Family Practice Medical And Dietetic Medical Therapy
DBA Doing business as
Authorized official Rosales, Jose Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2010
Last updated Mar 29th, 2013 - 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 1609199447 NPPES
New Mexico Other 1609199447 BCBS
New Mexico MEDICAID 58878335 BCBS

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