Organization
MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS J FONSECA (INTERNAL MEDICINE)
(505) 392-8943
Entity
Organization
Contact information
Practice address
5419 N LOVINGTON HWY STE 10, HOBBS, NM 88240-9135
(505) 392-8943
(505) 392-8960
Mailing address
5419 N LOVINGTON HWY STE 10, HOBBS, NM 88240-9135
(505) 392-8943
(505) 392-8960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM009390
BCBS
NM
Enumeration date
11/01/2007
Last updated
10/17/2008
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