Paul W. Bagwell is a Clinical in Las Vegas, New Mexico. Paul W. Bagwell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul W. Bagwell is 1477608453. The last update date is 2010-07-22.
Paul W. Bagwell's current location address is 3695 Hot Springs Blvd, Las Vegas, New Mexico. You can contact this provider via phone number 5054542100 and fax number 5054542130. The mailing address for Paul W. Bagwell is 3695 Hot Springs Blvd, Las Vegas, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul W. Bagwell |
|---|---|
| Address | 3695 Hot Springs Blvd, Las Vegas, New Mexico |
| Phone Number | 5054542100 |
| Fax Number | 5054542130 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1477608453 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2010-07-22 |
Provider Mailing Address Detail
| Address | 3695 Hot Springs Blvd |
|---|---|
| City | Las Vegas |
| State | New Mexico (NM) |
| Post Code | 877019549 |
| Phone Number | 5054542100 |
| Fax Number | 5054542130 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 854 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Paul W. Bagwell's 1477608453?
The Paul W. Bagwell's NPI (National Provider Identifier) Number is 1477608453. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul W. Bagwell located?
The Paul W. Bagwell is located at 3695 Hot Springs Blvd, Las Vegas, NM 877019549.
What is the Paul W. Bagwell's specialty and taxonomy code?
The Paul W. Bagwell's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Paul W. Bagwell receive its 1477608453 assignment from the Centers for Medicare & Medicaid Services?
The Paul W. Bagwell was assigned its 1477608453 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the Paul W. Bagwell's details last updated?
The information pertaining to the Paul W. Bagwell, including its address, specialty, and other details, was most recently updated on 2010-07-22.
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