Organization
HARRY BASS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BASS M.D., P.A. (PRESIDENT/PHYSICIAN)
(575) 522-0330
Entity
Organization
Contact information
Practice address
2425 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-0330
(575) 522-8620
Mailing address
2425 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-0330
(575) 522-8620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77-5
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM000242
BCBS
—
01
—
201000575
PRESBYTERIAN HEALTH PLAN
—
05
—
42184371
—
NM
01
—
524571
FIRST HEALTH LIFE AND HEALTH INSURANCE CO.
—
Enumeration date
06/04/2008
Last updated
10/09/2013
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