Organization
MASOUD KHORSAND- SAHBAIE MD PA
Active
Other names
Kymera Independent Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ELLIOTT SOUTHWARD (CHIEF OPERATING OFFICER)
(575) 627-9110
Entity
Organization
Contact information
Practice address
400 MILITARY HEIGHTS PL, ROSWELL, NM 88201-6407
(575) 627-9500
(575) 627-9535
Mailing address
PO BOX 1574, ROSWELL, NM 88202-1574
(575) 627-9110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z2565
—
NM
Enumeration date
05/18/2018
Last updated
06/12/2023
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