Organization
THE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE JOUKHADAR M.D. (OWNER)
(575) 222-4074
Entity
Organization
Contact information
Practice address
2904 HILLRISE DR, LAS CRUCES, NM 88011-4702
(575) 222-4074
(575) 222-4078
Mailing address
2904 HILLRISE DR, LAS CRUCES, NM 88011-4702
(575) 222-4074
(575) 222-4078
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/15/2022
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