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
Phone: (575) 532-5386
Fax: (575) 532-5449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT06119 | Texas |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD0748 | New Mexico |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | CNP00942 | New Mexico |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609199447 | NPPES |
New Mexico | Other | 1609199447 | BCBS |
New Mexico | MEDICAID | 58878335 | BCBS |
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