Organization
TUCUMCARI ESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON WEISS (CEO)
(972) 934-3200
Entity
Organization
Contact information
Practice address
301 E MIEL DE LUNA AVE, TUCUMCARI, NM 88401-3810
(575) 461-7000
Mailing address
17304 PRESTON RD, SUITE 1400, DALLAS, TX 75252-5618
(972) 934-3200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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