person
Dr. Manuel Pavia Tan, MD
General Practice Physician in Las Cruces, New Mexico
NPI 1396939096

Manuel Pavia Tan is a General Practice Physician based in Las Cruces, NM. Manuel Pavia Tan practices in Las Cruces, NM and has the professional credentials of MD. The NPI Number for Manuel Pavia Tan is 1396939096 and holds a License No. 93164 (New Mexico).

The current practice location address for Manuel Pavia Tan is 4351 E Lohman Ave, Las Cruces, NM and can be reached out via phone at 575-532-8900 and via fax at 575-532-8910.

Location: 4351 E Lohman Ave, Las Cruces, NM, 88011-8259
person
Provider Profile Details
NPI Number
1396939096
Provider Name
Manuel Pavia Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4351 E Lohman Ave, Las Cruces, NM, 88011-8259
Phone Number
575-532-8900
Fax Number
575-532-8910
Provider Enumeration Date
09/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F9028 05 NM
institution
Provider Business Practice Location Address Details
Address
4351 E Lohman Ave
City
State
Zip
88011-8259
Phone Number
575-532-8900
Fax Number
575-532-8910
person
Provider Business Mailing Address Details
Address
4351 E Lohman Ave
City
State
Zip
88011-8259
Phone Number
575-532-8900
Fax Number
575-532-8910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
93164 (New Mexico)
Definition
Definition to come...
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