Individual
HARRY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2425 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-0330
(575) 522-8620
Mailing address
2425 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-0330
(575) 522-8620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
775
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42184371
—
NM
Enumeration date
09/30/2005
Last updated
09/08/2020
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