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Organization

SOUTHWEST HEALTH SERVICES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OSVALDO RENE DE LA VEGA MD (PRESIDENT)
(575) 521-1575
Entity
Organization

Contact information

Practice address
2525 S TELSHOR BLVD, STE B2, LAS CRUCES, NM 88011-5071
(575) 521-1575
(575) 521-1940
Mailing address
2525 S TELSHOR BLVD, STE B2, LAS CRUCES, NM 88011-5071
(575) 521-1575
(575) 521-1940

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
K2762
NM
Enumeration date
12/22/2006
Last updated
09/04/2012
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