Organization
RIO GRANDE MEDICAL, LTD
Active
Parent organization
RIO GRANDE MEDICAL GROUP, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIO GRANDE MEDICAL GROUP, LTD
Authorized official
EUGENE SAMUEL (CEO)
(575) 532-8900
Entity
Organization
Contact information
Practice address
4351 E LOHMAN AVE, SUITE 301, LAS CRUCES, NM 88011-8259
(575) 532-8900
(575) 532-8963
Mailing address
4351 E LOHMAN AVE, SUITE 301, LAS CRUCES, NM 88011-8259
(575) 532-8900
(575) 532-8963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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