New Mexico State University

Specialty details in registry · Las Cruces, NM

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At a glance

Corner Of Stewart Street And Sweet Avenue, Las Cruces, NM 88003-0005

NPPES record updated Oct 4, 2013. Public records can lag behind changes at a practice.

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Practice location

Corner Of Stewart Street And Sweet Avenue New Mexico State University O'donnell Hall #047
Las Cruces, NM 88003-0005
Professional details: NPI, taxonomy & registry record
NPI1033546486
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0850X
Enumeration date
Oct 1, 2013
Record updated
Oct 4, 2013
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM0850X · Primary

Specialty details in registry

261QM0855X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

Corner Of Stewart Street And Sweet Avenue
New Mexico State University O'donnell Hall #047
Las Cruces, NM 88003-0005
Phone
(575) 646-2065
Mailing address
PO BOX 30001
O'DONNELL HALL, ROOM 047
LAS CRUCES, NM 880038001
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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