NEW MEXICO PHS LLC

MEMPHIS, TN
NPI1871802082
Entity TypeOrganization
Authorized ContactTHERESA NICHOLAS
Credentialing Manager
901-261-4858
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2010-10-05
Last Update Date2010-10-05
Business Address
NEW MEXICO PHS LLC
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125-8501
Phone number: 901-261-4848
Mailing Address
NEW MEXICO PHS LLC
6565 AMERICAS PKWY NE STE 200
ALBUQUERQUE, NM 87110-8172
Phone number:
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