Organization
EPMED, PA
Active
Other names
New Mexico Pain Center of Albuquerq
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO GENARO VAZQUEZ MD (CEO)
(915) 598-7246
Entity
Organization
Contact information
Practice address
3600 COORS BLVD NW STE 200, ALBUQUERQUE, NM 87120-1436
(505) 264-9961
(505) 289-3887
Mailing address
3215 GATEWAY BLVD W, EL PASO, TX 79903-4225
(915) 598-7246
(915) 633-6598
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
12/02/2019
Last updated
07/27/2020
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