Organization · Type 2 NPI

Proactive MD Nm, LLC

Primary Care Clinic/Center · Artesia, NM

NPI number 1205416732 Active

Practice location

1107 E. Main St.
Artesia, NM 88210

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1205416732

Proactive MD Nm, LLC's National Provider Identifier is 1205416732, issued on Apr 9, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Artesia, NM. The record was last updated on Aug 31, 2026.