NEW MEXICO JUNIOR COLLEGE (NPI# 1740637867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740637867 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO JUNIOR COLLEGE |
| Other Organization Name | NEW MEXICO JUNIOR COLLEGE SPORTS MEDICINE |
| Practice Address |
5050 Spring Valley Rd Dallas TX 75244-3909 |
| Mailing Address |
5317 N Lovington Hwy Hobbs NM 88240-9121 |
| Practice Telephone | 9723674845 |
| Mailing Telephone | 5753924510 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| New Mexico Junior College Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEW MEXICO JUNIOR COLLEGE | 5317 N Lovington Hwy, Hobbs, NM 88240-9123 |
| Street Address |
5050 SPRING VALLEY RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669716205 | Campbell University Inc | Clinic/Center | 5050 Spring Valley Rd, Dallas, TX 75244-3995 | 2012-11-20 |
| 1023561818 | Kansas Wesleyan University | Orthopaedic Surgery | 5050 Spring Valley Rd, Dallas, TX 75244-3909 | 2016-07-27 |
| 1164879821 | Emporia State University | Obstetrics & Gynecology | 5050 Spring Valley Rd, Dallas, TX 75244-3909 | 2016-05-23 |
| 1770901019 | Savannah State University | Family Medicine | 5050 Spring Valley Rd, Dallas, TX 75244-3995 | 2014-04-03 |
| 1043647407 | University of Nevada Las Vegas | Clinic/Center | 5050 Spring Valley Rd, Dallas, TX 75244-3995 | 2013-10-01 |
| 1134460967 | Kennesaw State University | Psychologist | 5050 Spring Valley Rd, Dallas, TX 75244-3995 | 2013-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982131363 | Julia C Durante | Pediatrics | 2350 N Stemmons Fwy Ste F5200, Dallas, TX 75207-2700 | 2017-05-17 |
| 1891235206 | Jill Whitehurst | Pediatrics | 6436 Glendora Ave, Dallas, TX 75230-5125 | 2017-03-03 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| 1144686601 | Souren Chakmakjian | Pediatrics | 3855 Branchfield Dr, Dallas, TX 75214-2949 | 2016-01-13 |
| 1851756977 | Aaron L. Kreisler, M.d. P.a. | Pediatrics | 1151 N Buckner Blvd # Pb1, Suite 203, Dallas, TX 75218-3426 | 2015-12-16 |
| 1679982540 | Mevelline Lim | Pediatrics | 2350 N Stemmons Fwy Ste 2400, Dallas, TX 75207-2700 | 2014-08-05 |
| 1134549983 | Diana Liz Arriola | Pediatrics | 3434 W Illinois Ave Ste 306-3, Dallas, TX 75211-8709 | 2014-04-20 |
| 1386064269 | Jennifer Nguyen Chew | Pediatrics | 6300 Harry Hines Blvd Ste 101, Dallas, TX 75235-5259 | 2014-04-18 |
| 1215379987 | Colleen D Edge | Pediatrics | 8355 Walnut Hill Ln Ste 105, Dallas, TX 75231-4242 | 2013-07-23 |
| 1083055214 | Richard William Markus | Pediatrics | 7777 Forest Ln Ste B320, Dallas, TX 75230-6820 | 2013-07-16 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on NEW MEXICO JUNIOR COLLEGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.