Organization
HEALTH WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DAVIS (MEMBER)
(505) 205-9820
Entity
Organization
Contact information
Practice address
3300 W MAIN ST STE F, ARTESIA, NM 88210-9617
(505) 205-9820
Mailing address
311 HUNTER PASS, WAXAHACHIE, TX 75165-8235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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