Organization
LAS CRUCES FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMRAN RAZA M.D. (M.D./OWNER)
(575) 532-1111
Entity
Organization
Contact information
Practice address
2930 HILLRISE DR, SUITE 2, LAS CRUCES, NM 88011-4776
(575) 532-1111
(575) 532-1122
Mailing address
2930 HILLRISE DR, SUITE 2, LAS CRUCES, NM 88011-4776
(575) 532-1111
(575) 532-1122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2010-0103
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53376081
—
NM
Enumeration date
07/01/2010
Last updated
04/29/2011
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