Individual
DR. JESUS J FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1923 N. DAL PASO, SUITE A, HOBBS MEDICAL CLINIC, HOBBS, NM 88240-3023
(575) 433-3000
(575) 433-4451
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001-192
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G2204
—
NM
Enumeration date
08/19/2006
Last updated
03/08/2017
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