SOUTHWEST VASCULAR, LLC
Ambulatory Health at Date St, T Or C, NM

License number
New Mexico MD2011-0121
Category
Osteopathic Medicine
Type
Family Medicine
License number
New Mexico MD2011-0121
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: CHANDRAN VEDAMANIKAM M.D.
Title: MEDICAL DIRECTOR
Phone: (575) 636-2388
Address
Address 2
909 N Date St SUITE B, T Or C, NM 87901
PO Box 2707, Las Cruces, NM 88004
National Provider ID: 1851660229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHWEST VASCULAR, LLC at bizstanding.com

Southwest Vascular LLC

909 N Date St, T or C, NM 87901

Status:
Inactive
Industry:
Nonclassifiable Establishments

Ambulatory Health licenses in New Mexico




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