OrganizationActive
Ideal Option PLLC
NPI 1083455794 · Clinic/Center · Las Cruces, NM
Provider details
- NPI number
- 1083455794
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Dawson, Cmo(509) 222-1275
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
532 N Telshor Blvd Ste G
Las Cruces, NM 88011-8234
Phone: (877) 522-1275
Fax: (509) 491-3031
Approximate (ZIP-level) locationGet directions
Mailing address
500 Sw 7th St Ste A205
Renton, WA 98057-2983
Registry dates
- Enumerated
- 2024-06-05
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.