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Organization

SENIOR PSYCHCARE OF NEW MEXICO, LLC

Active
Other names
Senior Psychcare of New Mexico, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL J FRAPART (CFO)
(713) 850-0049
Entity
Organization

Contact information

Practice address
1402 W GILCHRIST AVE, ARTESIA, NM 88210-1134
(713) 850-0049
Mailing address
4635 SOUTHWEST FWY STE 635, HOUSTON, TX 77027-7112
(713) 850-0049

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
363A00000X
Physician Assistant
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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