PANGEA MEDICAL LLC
Ambulatory Health at Gaye Dr, Roswell, NM

License number
New Mexico MD2011-0547
Category
Ambulatory Health
Type
Adult Mental Health
License number
New Mexico MD2011-0547
Category
Ambulatory Health
Type
Primary Care
Owner
Name: STEVEN RAY BLACK
Title: M.D.
Phone: (575) 578-4548
Address
Address
2604 Gaye Dr, Roswell, NM 88201
National Provider ID: 1457619934
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PANGEA MEDICAL LLC at bizstanding.com

PANGEA MEDICAL, LLC

Roswell, NM

Status:
Inactive
Industry:
Medical Doctor's Office Business Services at Non-Commercial Site
Doing business as:
Pangea Medical
Registration:
Jan 17, 2012
Addresses:
2604 Gave Drive  , Roswell, NM 88201 (Physical)
2604 Gaye Dr, Roswell, NM 88201
State ID:
4587340
Business type:
Domestic Limited Liability Company
Organizer:
Steve Black (Organizer)
Agent:
Steven Black,2604 Gave Dr, Roswell, NM 88201 (Physical)

Ambulatory Health licenses in New Mexico










Other Doctors licenses in New Mexico