Organization
PACE MANAGEMENT, INC.
Active
Other names
Allergy & Asthma Clinic of Southern NM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE L GAINES MD (PRESIDENT)
(505) 522-6500
Entity
Organization
Contact information
Practice address
3800 E LOHMAN AVE, SUITE A, LAS CRUCES, NM 88011-8273
(505) 522-6500
(505) 522-0591
Mailing address
3800 E LOHMAN AVE, SUITE A, LAS CRUCES, NM 88011-8273
(505) 522-6500
(505) 522-0591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
94250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26189
—
NM
01
—
NM004123
BCBS NUMBER
NM
Enumeration date
09/14/2006
Last updated
08/22/2020
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