Organization
ENT ASSOCIATES OF SOUTHEASTERN NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE J FARRELL III MD (PRESIDENT)
(505) 392-0495
Entity
Organization
Contact information
Practice address
5419 N LOVINGTON HWY, HOBBS, NM 88240-9131
(505) 392-0495
(505) 392-0562
Mailing address
PO BOX 2484, HOBBS, NM 88241-2484
(505) 392-0495
(505) 392-0562
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2002-0332
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20980574
—
NM
01
—
NM009D16
BCBS OF NEW MEXICO
NM
Enumeration date
11/12/2006
Last updated
08/22/2020
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