OrganizationActive
Back and Neck Medical Care Center, LLC
NPI 1417530304 · Medical Specialty Clinic/Center · Las Cruces, NM
Provider details
- NPI number
- 1417530304
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Waldt, Provider Owner(505) 695-1227
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2803 Doral Ct
Las Cruces, NM 88011-8616
Phone: (046) 984-4063
Fax: (877) 532-2113
Approximate (ZIP-level) locationGet directions
Mailing address
1180 Commerce Dr Unit 14222
Las Cruces, NM 88013-4649
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.