Southwest Heart PC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

Legal business name

SOUTHWEST HEART PC

Practice address

4351 E Lohman Ave Ste 405
Las Cruces, NM 88011-8261

Phone

(575) 522-2233

Fax

(575) 522-2266

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terry A Boulware, M.D.

Title

Owner

Phone

(505) 522-7247

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1265502298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 405",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118261",
            "telephone_number": "575-522-2233",
            "fax_number": "575-522-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 405",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118261",
            "telephone_number": "575-522-2233",
            "fax_number": "575-522-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEART PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "BOULWARE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-522-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56428006",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Family Guidence
• Southwest Gynecology, Inc.
• Southwest Health Allegiance LLC
• Southwest Health Services, PA
• Southwest Healthcare Associates LLC
• Southwest Institute of Hearing and Balance
• Southwest Medical Services, Inc
• Southwest Optical, LLC
• Southwest Pain Center, LLC
• Southwest Periodontal and Implants

• Adult Health Clinical Nurse Specialist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Adult Health Clinical Nurse Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.