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Contact Information

INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A.
4824 MCMAHON BLVD NW
SUITE 119
ALBUQUERQUE, NM87114-5412
 Phone: 505-898-1595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A.

NPI # 1427104157
LBN Legal business name INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A.
Authorized official CHARLES PACE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM License # 2000-259
NM Medicaid 61727369
NM Other NM009L89 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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