Organization
SENIOR PSYCHCARE OF NEW MEXICO, LLC
Active
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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