<Unavail>

LBN: Elite Aesthetics
<Unavail> is an health care organization with primary practice located at 1005 S Telshor Blvd Ste A , Las Cruces NM 88011-4879. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Elite Aesthetics can be contacted via phone (575) 262-7546, or through Autry, Kristin via phone (707) 770-9990.

Contact Information

Primary practice address
1005 S Telshor Blvd Ste A Las Cruces NM 88011-4879
Phone: (575) 262-7546
Fax: (575) 888-2273
Website:
Map and Directions
Authorized official contact:
Name: Autry, Kristin
Phone: (707) 770-9990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1902452360
LBN Legal business name Elite Aesthetics
DBA Doing business as <Unavail>
Authorized official Autry, Kristin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2019
Last updated Dec 30th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902452360 NPPES
New Mexico MEDICAID 10222880

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