Organization
EPMED, PA
Active
Other names
New Mexico Pain Center of Roswell
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO GENARO VAZQUEZ (CEO)
(915) 598-7246
Entity
Organization
Contact information
Practice address
2730 N WILSHIRE BLVD, ROSWELL, NM 88201-6519
(575) 395-7246
Mailing address
3215 GATEWAY BLVD W STE 210, EL PASO, TX 79903-4225
(915) 598-7246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58470701
—
NM
Enumeration date
10/02/2019
Last updated
07/27/2020
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