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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NM OPTIMUM MEDICAL GROUP, LLC

Active Organization

NM OPTIMUM MEDICAL GROUP, LLC is a Specialist organization located in LAS CRUCES, New Mexico. NPI 1184005860 is currently active in the NPPES registry. Verify at CMS.

Specialist · LAS CRUCES, NM

Registration Details

NPI Number
1184005860
Provider Type
Organization
NPI Issued
Jun 17, 2015 (11.192846707396 yrs)
Last Updated
Feb 15, 2017
License
MD2012-0160 (NM)

Practice Information

Address
425 S TELSHOR BLVD # C201B
LAS CRUCES, NM, 880118235
Browse NM providers · Browse ZIP 88011
Phone
5755221200
Fax
5752882063
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.