Organization
CATRON COUNTY COWBOY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER DEZIEL NP (OWNER)
(715) 566-1652
Entity
Organization
Contact information
Practice address
829 N MANZANITA ST, LAS CRUCES, NM 88001-2248
(715) 566-1652
(575) 800-5910
Mailing address
829 N MANZANITA ST, LAS CRUCES, NM 88001-2248
(715) 566-1652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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