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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