Individual
DAVID PROTEXTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
334 LINDA VISTA RD, LAS CRUCES, NM 88005-2008
(575) 993-1017
Mailing address
334 LINDA VISTA RD, LAS CRUCES, NM 88005-2008
(575) 993-1017
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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