Healthcare Provider Details

I. General information

NPI: 1376512632
Provider Name (Legal Business Name): HARRY SCHNEE MESSEC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 OLD US 66
EDGEWOOD NM
87015-6784
US

IV. Provider business mailing address

12127B HWY 14 N STE 5
CEDAR CREST NM
87008-9461
US

V. Phone/Fax

Practice location:
  • Phone: 505-286-2396
  • Fax: 505-286-2398
Mailing address:
  • Phone: 505-286-2396
  • Fax: 505-286-2398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2010-0058
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: