Organization
VISWANATHA REDDY YARATHA, MD
Active
Other names
Lea County Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISWANATHA REDDY YARATHA MD (OWNER)
(575) 392-1503
Entity
Organization
Contact information
Practice address
5419 N LOVINGTON HWY, SUITE 2, HOBBS, NM 88240-9131
(575) 392-1503
(575) 392-5698
Mailing address
5419 N LOVINGTON HWY, SUITE 2, HOBBS, NM 88240-9131
(575) 392-1503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NM83-345
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24778
—
NM
Enumeration date
07/22/2008
Last updated
07/22/2008
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