Healthcare Provider Details

I. General information

NPI: 1093748170
Provider Name (Legal Business Name): COVENANT CLINICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3961 E LOHMAN AVE
LAS CRUCES NM
88011
US

IV. Provider business mailing address

3961 E LOHMAN AVE SUITE #33
LAS CRUCES NM
88011
US

V. Phone/Fax

Practice location:
  • Phone: 505-556-0200
  • Fax: 505-527-1157
Mailing address:
  • Phone: 575-556-0200
  • Fax: 575-556-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT L PATTERSON
Title or Position: OWNER
Credential: D.O.
Phone: 575-842-2486