Organization
PECOS VALLEY OF NEW MEXICO, LLC
Active
Organization
PECOS VALLEY OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
5419 N LOVINGTON HWY, COMPLEX 5 STE. 15, HOBBS, NM 88240-9131
(505) 392-1973
Mailing address
5419 N LOVINGTON HWY, COMPLEX 5 STE. 15, HOBBS, NM 88240-9131
(505) 392-1973
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4739
—
NM
Enumeration date
07/13/2007
Last updated
11/10/2011
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