Doctor Name: | DR. EJUB CARLOS HADZIC |
NPI Number: | 1164474797 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 88-181 |
Business Practice Address: | 2428 W Pierce St Carlsbad, NM - 882203512 |
Business Phone Number: | 5752346200 |
Business Fax Number: | 5752346219 |
Mailing Address: | 205 W Boutz Rd, Bldg 1 LAS CRUCES |
State: | NM |
Postal Code: | 880053259 |
Phone Number: | 5755327000 |
Fax Number: | 5755327006 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 88-181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |