# SOUTHERN NEW MEXICO FAMILY NEUROLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720643323
- **Authorized official:** MISS ROCCO FRANCO MD (PRESIDENT AND SOLE SHAREHOLDER)
- **Authorized official phone:** (718) 570-6086

## Contact information

- **Practice address:** 2801 MISSOURI AVE STE 12, LAS CRUCES, NM 88011-5061
- **Practice address phone:** (718) 570-6086
- **Mailing address:** 1180 COMMERCE DR UNIT 13028, LAS CRUCES, NM 88011-8210
- **Mailing address phone:** (718) 570-6086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2019
- **Last updated:** 05/08/2019
