Healthcare Provider Details

I. General information

NPI: 1487977690
Provider Name (Legal Business Name): FRANCISCO LABOY III D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 MISSOURI AVE STE 37
LAS CRUCES NM
88011-9151
US

IV. Provider business mailing address

2801 MISSOURI AVE STE 37
LAS CRUCES NM
88011-9151
US

V. Phone/Fax

Practice location:
  • Phone: 575-323-3969
  • Fax: 575-323-3948
Mailing address:
  • Phone: 575-323-3969
  • Fax: 575-323-3948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberA-1903-15
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: