Supam LLC
NPI #1104118884 in Hobbs, New Mexico
Provider Information
- NPI Number
- 1104118884
- Entity Type
- Organization
- Organization Name
- Supam LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 12, 2011
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 5419 NORTH LOVINGTON HIGHWAY
- Address 2
- SUITE 7
- City
- Hobbs
- State
- New Mexico
- ZIP Code
- 88240-9135
- Phone
- (575) 392-3903
Authorized Official
- Name
- MUKESHBHAI B PATEL, MD
- Title
- OWNER
- Phone
- (732) 713-2824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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