Southwest Heart Pc

LBN: Southwest Heart Pc
Southwest Heart Pc is an health care organization with primary practice located at 4351 E Lohman Ave Ste 405 , Las Cruces NM 88011-8261. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as the primary health care specialty. Southwest Heart Pc can be contacted via phone (575) 522-2233, or through Boulware, Terry A via phone (505) 522-7247.

Contact Information

Primary practice address
4351 E Lohman Ave Ste 405 Las Cruces NM 88011-8261
Phone: (575) 522-2233
Fax: (575) 522-2266
Website:
Map and Directions
Authorized official contact:
Name: Boulware, Terry A Doctor of Medicine (MD)
Phone: (505) 522-7247

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X

Profile Details

NPI number 1265502298
LBN Legal business name Southwest Heart Pc
DBA Doing business as
Authorized official Boulware, Terry A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Jan 22nd, 2020 - about 4 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 1265502298 NPPES
New Mexico MEDICAID 56428006

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