Organization
AFFILION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011
(505) 556-6800
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15334821
—
NM
01
—
NM007F22
BCBS NM
NM
Enumeration date
05/08/2007
Last updated
12/05/2019
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