Individual
SANDRO B PARISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-6717
Mailing address
205 W BOUTZ RD BLDG 1, LAS CRUCES, NM 88005-3259
(575) 532-7000
(575) 532-7025
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K9144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125334605
—
TX
05
—
38738325
—
NM
01
—
89482R
BCBS TX
TX
01
—
P00002145
RR MEDICARE
TX
Enumeration date
08/19/2005
Last updated
09/30/2020
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