Desert Herbals LLC
Organization Active NPI Clinic/Center · Socorro, NM
NPI 1598103186 · NPPES record last updated Jun 5, 2013
Key facts
- NPI
- 1598103186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 697 (NM)
- Legal business name
- DESERT HERBALS LLC
- Practice address
- 205B School of Mines Rd
Socorro, NM 87801-4545 - Phone
- (575) 835-4787
- Fax
- (575) 835-4787
- NPI assigned
- Jun 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeanne Dixon, DOM
- Title
- Owner
- Phone
- (575) 835-4787
Practitioners 3
-
Kristi Resener, DOM
-
Jenna Viscaya, LMHC, DOM
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 697 | NM | Yes |
Addresses
Primary practice location
205B School of Mines Rd
Socorro, NM 87801-4545
Mailing address
PO Box 233
Socorro, NM 87801-0233
Phone (575) 835-4787
Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 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.