Rio Grande Foot Clinic Inc

LBN: Rio Grande Foot Clinic Inc
Rio Grande Foot Clinic Inc is an health care organization with primary practice located at 710 S Alameda Blvd , Las Cruces NM 88005-2928. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Rio Grande Foot Clinic Inc can be contacted via phone (575) 523-8566, or through Deetz, David L via phone (575) 523-8566.

Contact Information

Primary practice address
710 S Alameda Blvd Las Cruces NM 88005-2928
Phone: (575) 523-8566
Fax: (575) 525-2065
Website:
Map and Directions
Authorized official contact:
Name: Deetz, David L Doctor of Podiatric Medicine (DPM)
Phone: (575) 523-8566

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X NM142 New Mexico

Profile Details

NPI number 1225194608
LBN Legal business name Rio Grande Foot Clinic Inc
DBA Doing business as
Authorized official Deetz, David L Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated May 14th, 2008 - about 16 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 1225194608 NPPES
New Mexico MEDICAID 54072
New Mexico Other NM035303

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