Organization
ADVANCED EYE CARE LLC
Active
Other names
Southwest Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY MICHEL KHOURY M.D. (PRESIDENT)
(702) 738-9792
Entity
Organization
Contact information
Practice address
2030 S SOLANO DR, LAS CRUCES, NM 88001-5402
(575) 521-1158
Mailing address
2030 S SOLANO DR, LAS CRUCES, NM 88001-5402
(575) 521-1158
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
MD2011-0709
NM
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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