Organization
JUAN N SOSA PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN N SOSA PHD (OWNER)
(575) 522-8002
Entity
Organization
Contact information
Practice address
1155 S TELSHOR BLVD, SUITE 200, LAS CRUCES, NM 88011-1009
(575) 522-8002
(575) 522-8027
Mailing address
1155 S TELSHOR BLVD, SUITE 200, LAS CRUCES, NM 88011-1009
(575) 522-8002
(575) 522-8027
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
163
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N5806
—
NM
Enumeration date
08/17/2012
Last updated
08/17/2012
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