# WOMEN'S MEDICAL CENTER LLP

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

## Provider details

- **NPI number:** 1780683292
- **Authorized official:** LONNIE RAY (ADMINISTRATOR)
- **Authorized official phone:** (575) 762-8055

## Contact information

- **Practice address:** 2000 W 21ST ST, SUITE A-1, CLOVIS, NM 88101-4087
- **Practice address phone:** (505) 762-8055
- **Practice address fax:** (505) 763-3351
- **Mailing address:** 2000 W 21ST ST, SUITE A-1, CLOVIS, NM 88101-4087
- **Mailing address phone:** (505) 762-8055
- **Mailing address fax:** (505) 763-3351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 8738 | NM | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 05/03/2012