Organization
PAIN AND ADDICTION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN E ORTIZ (OWNER/CEO)
(505) 717-5278
Entity
Organization
Contact information
Practice address
1110 PENNSYLVANIA ST NE STE B, ALBUQUERQUE, NM 87110-7404
(505) 750-2034
(505) 400-3029
Mailing address
1110 PENNSYLVANIA ST NE STE B, ALBUQUERQUE, NM 87110-7404
(505) 750-2034
(505) 400-3029
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11587237
—
NM
Enumeration date
07/09/2018
Last updated
10/15/2019
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