Pecos Valley of New Mexico, LLC
NPI #1972569820 in Carlsbad, New Mexico
Provider Information
- NPI Number
- 1972569820
- Entity Type
- Organization
- Organization Name
- Pecos Valley of New Mexico, LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Apr 20, 2006
- Last Updated
- Mar 17, 2022
Practice Location
- Address
- 2420 W PIERCE ST
- Address 2
- SUITE 200 B
- City
- Carlsbad
- State
- New Mexico
- ZIP Code
- 88220-3543
- Phone
- (505) 628-1490
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (877) 892-9815
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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