Sprocket Medical Management LLC

NPI #1801859319 in Hobbs, New Mexico

Provider Information

NPI Number: 1801859319
Entity Type: Organization
Organization Name: Sprocket Medical Management LLC
Primary Specialty: General Practice
Enumeration Date: Apr 7, 2006
Last Updated: Mar 11, 2008

Practice Location

Address: 5419 N LOVINGTON HWY
City: Hobbs
State: New Mexico
ZIP Code: 88240-9100
Phone: (505) 491-5000

Authorized Official

Name: MS. DEBBIE BREWER
Title: PROVIDER ENROLLMENT DIRECTOR
Phone: (877) 892-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X
General Practice	208D00000X	Primary

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