Organization
NM OPTIMUM MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS ESTRADA MD (PRESIDENT)
(575) 522-1200
Entity
Organization
Contact information
Practice address
425 S TELSHOR BLVD # C201B, LAS CRUCES, NM 88011-8235
(575) 522-1200
(575) 288-2063
Mailing address
425 S TELSHOR BLVD # C201B, LAS CRUCES, NM 88011-8235
(575) 522-1200
(575) 288-2063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2012-0160
NM
Other
Enumeration date
06/17/2015
Last updated
02/15/2017
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