Organization
DR AEMON R TECHEIRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AEMON R. TECHEIRA (PRESIDENT)
(575) 532-7000
Entity
Organization
Contact information
Practice address
5419 N. LOVINGTON HWY, HOBBS, NM 88240-9131
(575) 532-7000
Mailing address
PO BOX 787, HOBBS, NM 88241-0787
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151741901
—
TX
05
—
64339823
—
NM
01
—
DB3423
RR MEDICARE
—
01
—
NM009947
BCBS
NM
Enumeration date
04/12/2007
Last updated
10/10/2012
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