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Contact Information

PEDS TOTS TO TEENS LLC
1180 MALL DR
LAS CRUCES, NM88011-8101
 Phone: 575-259-3785
 Fax: 575-532-9221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDS TOTS TO TEENS LLC

NPI # 1245920396
LBN Legal business name PEDS TOTS TO TEENS LLC
Authorized official USHA PHILLIPS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2023
Last updated 09/28/2023 - About 3 years ago
Identifiers n/a
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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