Manuel Pavia Tan in Las Cruces - General Practice
Manuel Pavia Tan - NPI 1396939096
Manuel Pavia Tan is a General Practice in Las Cruces, New Mexico. Manuel Pavia Tan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Manuel Pavia Tan is 1396939096. The last update date is 2008-05-07.
Manuel Pavia Tan's current location address is 4351 E Lohman Ave, Las Cruces, New Mexico. You can contact this provider via phone number 5755328900 and fax number 5755328910. The mailing address for Manuel Pavia Tan is 4351 E Lohman Ave, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manuel Pavia Tan |
|---|---|
| Address | 4351 E Lohman Ave, Las Cruces, New Mexico |
| Phone Number | 5755328900 |
| Fax Number | 5755328910 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396939096 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2008-05-07 |
Provider Mailing Address Detail
| Address | 4351 E Lohman Ave |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880118259 |
| Phone Number | 5755328900 |
| Fax Number | 5755328910 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 93164 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| F9028 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Manuel Pavia Tan by the Centers for Medicare & Medicaid Services?
The Manuel Pavia Tan has been issued the NPI (National Provider Identifier) 1396939096, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Manuel Pavia Tan?
The Manuel Pavia Tan is physically situated at 4351 E Lohman Ave, in the city of Las Cruces, state of NM, with the postal code 880118259.
What is Manuel Pavia Tan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Manuel Pavia Tan's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date was the 1396939096 assigned to Manuel Pavia Tan?
The Manuel Pavia Tan was issued its 1396939096 on 2007-09-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Manuel Pavia Tan most recently updated or revised?
The details related to Manuel Pavia Tan, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-07.