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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 96PA09 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familycare Associates,PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L5375 | Medicaid | NM |
Other providers in Las Cruces, NM
- Alan C Davis MD PA
- Guadalupe Alaniz
- Nicole Ann Alaniz
- Santana Marie Alarcon
- Veronica Alba
- Albertsons
- Albertsons LLC
- Albertsons LLC
- Monica Albidres
- Deborah Albo-Madigan
All providers in Las Cruces, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.