State of New Mexico
NPI #1912918103 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1912918103
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 700 FRIEDMAN AVE
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4231
- Phone
- (505) 454-5100
Authorized Official
- Name
- MR. STEVE MARTINEZ
- Title
- INTERIM HOSPITAL ADMINISTRATOR
- Phone
- (505) 454-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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