Organization
CURRY EMERGENCY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA C FALK (VP OF CONTRACTING)
(337) 609-1221
Entity
Organization
Contact information
Practice address
2100 N DR MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101-9412
(575) 769-2141
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
479324
MEDICARE NEW MEXICO
NM
05
—
98686313
—
NM
Enumeration date
01/28/2016
Last updated
03/23/2022
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