Organization
CHILDREN'S WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HERNDON (OWNER)
(505) 524-4100
Entity
Organization
Contact information
Practice address
2801 MISSOURI AVE, STE 9-10, LAS CRUCES, NM 88011-5075
(575) 524-4100
(575) 532-9221
Mailing address
2801 MISSOURI AVE, STE 9-10, LAS CRUCES, NM 88011-5075
(575) 532-9077
(575) 532-9221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
12/08/2010
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