Southwest Psychiatry Pllc
NPI #1427616259 in Santa Teresa, New Mexico
Provider Information
- NPI Number
- 1427616259
- Entity Type
- Organization
- Organization Name
- Southwest Psychiatry Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jun 5, 2019
- Last Updated
- Jun 5, 2019
Practice Location
- Address
- 5805 MCNUTT RD
- City
- Santa Teresa
- State
- New Mexico
- ZIP Code
- 88008-8001
- Phone
- (915) 244-4966
Authorized Official
- Name
- DR. DANIEL BUSTILLOS, DNP
- Title
- PMHNP
- Phone
- (915) 244-4966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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