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Organization
RIO GRANDE MEDICAL GROUP, LTD
Active
Organization
RIO GRANDE MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN ADNAN M.D. (VICE PRESIDENT)
(575) 532-8900
Entity
Organization
Contact information
Practice address
4371 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 532-8900
(575) 532-8910
Mailing address
4371 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 532-8900
(575) 532-8910
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44923
—
NM
Enumeration date
08/26/2005
Last updated
11/13/2013
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