Organization
PEDS TOTS TO TEENS LLC
Active
Organization
PEDS TOTS TO TEENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA PHILLIPS MD (OWNER)
(575) 259-3785
Entity
Organization
Contact information
Practice address
1180 MALL DR, LAS CRUCES, NM 88011-8101
(575) 259-3785
(575) 532-9221
Mailing address
1180 MALL DR, LAS CRUCES, NM 88011-8101
(575) 259-3785
(575) 532-9221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
Other
Enumeration date
05/11/2023
Last updated
09/28/2023
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