Mary H. Albers, P.A.

Individual provider Active NPI Physician Assistant · Las Cruces, NM

NPI 1407890940 · NPPES record last updated Oct 10, 2013

Key facts

NPI
1407890940
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
96PA09 (NM)
Practice address
1005 S Telshor Blvd
Suite a
Las Cruces, NM 88011-4879
Phone
(575) 521-4500
Fax
(575) 521-4550
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
96PA09NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Familycare Associates,PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 96PA09 NM Yes

Addresses

Primary practice location

1005 S Telshor Blvd
Suite a
Las Cruces, NM 88011-4879

Mailing address

1005 S Telshor Blvd
Suite a
Las Cruces, NM 88011-4879
Phone (575) 521-4500

Other identifiers

IdentifierTypeStateIssuer
L5375MedicaidNM

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Physician Assistant in New Mexico

Sources for this page

Verify at the official NPI Registry.