Doctor Name: | ARMANDO LEE CRUZ |
NPI Number: | 1831473800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 641748 |
Business Practice Address: | 280 1st St Holloman Afb, NM - 883308273 |
Business Phone Number: | 5055727091 |
Business Fax Number: | |
Mailing Address: | 280 1st St, Family Health Clinic HOLLOMAN AIR FORCE BASE |
State: | NM |
Postal Code: | 883308273 |
Phone Number: | 5055727091 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2011 |
NPI Last Update Date: | 10/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 641748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |