Healthcare Provider Details

I. General information

NPI: 1760094643
Provider Name (Legal Business Name): JASON ZEHDEN PHARMD, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 S SOLANO DR
LAS CRUCES NM
88001-5402
US

IV. Provider business mailing address

1400 COMMON DR
EL PASO TX
79936-5922
US

V. Phone/Fax

Practice location:
  • Phone: 575-521-1158
  • Fax:
Mailing address:
  • Phone: 915-267-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberW2383
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD2025-1123
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60689
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: