| Internal Medicine Premium Health Care Pc | |
|
525 E Lohman Ave Ste D Las Cruces NM 88001-3394 | |
| (525) 652-4426 | |
| (525) 222-0025 |
| Full Name | Internal Medicine Premium Health Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 E Lohman Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Wendi Lashea Glason Darag (MD, OWNER) |
| Authorized Official Contact | 5756524426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Premium Health Care Pc 525 E Lohman Ave Ste D Las Cruces NM 88001-3394 Ph: (525) 652-4426 | Internal Medicine Premium Health Care Pc 525 E Lohman Ave Ste D Las Cruces NM 88001-3394 Ph: (525) 652-4426 |
| NPI Number | 1124406269 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124406269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2013-0836 (New Mexico) | Primary |
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