Healthcare Provider Details

I. General information

NPI: 1881522167
Provider Name (Legal Business Name): TEK MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 WYATT DR STE A
LAS CRUCES NM
88005-2996
US

IV. Provider business mailing address

304 WYATT DR STE 3
LAS CRUCES NM
88001-3684
US

V. Phone/Fax

Practice location:
  • Phone: 575-888-3282
  • Fax:
Mailing address:
  • Phone: 575-888-3282
  • Fax: 575-288-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN-PATRICK BATACHE
Title or Position: CEO
Credential:
Phone: 703-344-6564