Mimbres Internal Medicine PA
NPI #1083728109 in Deming, New Mexico
Provider Information
- NPI Number
- 1083728109
- Entity Type
- Organization
- Organization Name
- Mimbres Internal Medicine PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Apr 19, 2012
Practice Location
- Address
- 122 S GOLD AVE
- Address 2
- SUITE 3
- City
- Deming
- State
- New Mexico
- ZIP Code
- 88030-3755
- Phone
- (575) 544-7280
Authorized Official
- Name
- BASSAM AL-HOMSI, M.D.
- Title
- OWNER
- Phone
- (575) 544-7280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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