Organization
CORE MENTALHEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EKEOMA COOPER NP (NURSE PRACTITIONER)
(575) 571-6948
Entity
Organization
Contact information
Practice address
1557 MONTE VISTA AVE, LAS CRUCES, NM 88001-5731
(575) 571-6948
Mailing address
6500 NORTHWEST DR STE 350, MESQUITE, TX 75150-1364
(575) 571-6948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
05/22/2024
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