Physician Assistant, Surgical
LAS CRUCES PHYSICIAN PRACTICES LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1851574248 · enumerated 2007-12-10 · record updated 2008-06-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ANGIE MANGUM, DIRECTOR PHYSICIAN SERVICES · (505) 521-5277
Other names: MMC PHYSICIAN ASSISTANTS
Addresses and phones
- Practice location 2450 S TELSHOR BLVD, LAS CRUCES, NM, 88011-5069 (505) 521-5277 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 6310, LAS CRUCES, NM, 88006-6310 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary
In this directory
Locations and evidence
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Practice location
LAS CRUCES, NM, 880115069
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.