Women's Reproductive Clinic of New Mexic O, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

79-288 Issued in NM

Legal business name

WOMEN'S REPRODUCTIVE CLINIC OF NEW MEXIC O, LLC

Practice address

5690 Santa Teresita
Sunland Park, NM 88063

Phone

(505) 589-3855

NPI assigned

Jun 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Franz C. Theard, M.D.

Title

President

Phone

(505) 589-3855

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073710547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "88063",
            "telephone_number": "505-589-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "88063",
            "telephone_number": "505-589-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S REPRODUCTIVE CLINIC OF NEW MEXIC O, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEARD",
        "authorized_official_first_name": "FRANZ",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-589-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "79-288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Araceli Villa
• Luz Maria Villescas
• Viva Health
• Vye Wellness LLC
• Jacob White

• Clinic/Center in Sunland Park, NM
• Providers in Sunland Park, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.