Organization
LA CLINICA DE FAMILIA, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL MEDINA (CEO)
(575) 526-1105
Entity
Organization
Contact information
Practice address
800 S COUNTY LINE DR, CHAPARRAL, NM 88081-7830
(575) 525-4815
(575) 525-4816
Mailing address
385 CALLE DE ALEGRA BLDG A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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