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NPI Code Detail

MEDICARE: LAS CRUCES SURGERY CENTER - TELSHOR LLC

MEDICARE: LAS CRUCES SURGERY CENTER - TELSHOR LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1669844858
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS CRUCES SURGERY CENTER - TELSHOR LLC
Provider Business Mailing Address
First Line : PO BOX 689022
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-9022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1205 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4748
Country : US
Telephone Number : 575-522-6144
Fax Number : 575-522-6171
Authorized Official
Title or Position : DIRECTOR
Name : MICHAEL A SWAW
Credential :
Telephone Number : 615-778-8076
Provider Enumeration Date : 10/27/2015
Last Update Date : 10/27/2015

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Directions to “LAS CRUCES SURGERY CENTER - TELSHOR LLC ” Practice Location

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