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NPI Code Detail

MEDICARE: THE SURGERY CENTER OF LAS CRUCES, LLC

MEDICARE: THE SURGERY CENTER OF LAS CRUCES, 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 : 1942893896
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SURGERY CENTER OF LAS CRUCES, LLC
Provider Business Mailing Address
First Line : 2170 E LOHMAN AVE STE C
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-8440
Country : US
Telephone Number : 850-210-2395
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 : 850-210-2395
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KRYSTAL FRANKLIN
Credential : MD
Telephone Number : 850-210-2395
Provider Enumeration Date : 02/11/2021
Last Update Date : 02/11/2021

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Directions to “THE SURGERY CENTER OF LAS CRUCES, LLC ” Practice Location

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