Organization
CANCER/BLOOD AND MEDICINE CLINIC LLC
Active
Organization
CANCER/BLOOD AND MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKENNA OSUORJI MD,FACP (MEDICAL DIRECTOR/CEO)
(832) 859-0100
Entity
Organization
Contact information
Practice address
4050 NORTHRISE DR, LAS CRUCES, NM 88011
(575) 652-3040
Mailing address
4050 NORTHRISE DR, LAS CRUCES, NM 88011
(575) 652-3040
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QX0200X
Oncology Clinic/Center
4937678
NM
Other
Enumeration date
08/28/2014
Last updated
03/13/2025
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