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NPI Code Detail

MEDICARE: DR. CONCHITA M PAZ M.D.

MEDICARE:  DR. CONCHITA M PAZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician85263NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316982366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONCHITA M PAZ M.D.
Provider Business Mailing Address
First Line : 1135 S MAIN ST
Second Line : SUITE B
City : LAS CRUCES
State : NM
Zip : 88005-2946
Country : US
Telephone Number : 575-525-4000
Fax Number : 575-525-4040
Provider Business Practice Location Address
First Line : 1135 S MAIN ST
Second Line : SUITE B
City : LAS CRUCES
State : NM
Zip : 88005-2946
Country : US
Telephone Number : 575-525-4000
Fax Number : 575-525-4040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 09/09/2020

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Directions to “ DR. CONCHITA M PAZ M.D.” Practice Location

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