MEDICARE: TEK MED 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
1	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician

General Provider Information

NPI Number	:	1881522167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEK MED LLC

Provider Business Mailing Address
First Line	:	304 WYATT DR STE 3
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-3684
Country	:	US
Telephone Number	:	575-888-3282
Fax Number	:	575-288-2188

Provider Business Practice Location Address
First Line	:	156 WYATT DR STE A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2996
Country	:	US
Telephone Number	:	575-888-3282
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOHN-PATRICK BATACHE
Credential	:
Telephone Number	:	703-344-6564

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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