Provider Demographics
NPI:1396141081
Name:TOTAL HEALTH CARE LLC
Entity type:Organization
Organization Name:TOTAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARIONI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:575-318-2233
Mailing Address - Street 1:3108 DESTINY POINT DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-5464
Mailing Address - Country:US
Mailing Address - Phone:915-778-7778
Mailing Address - Fax:915-591-0421
Practice Address - Street 1:1036 E BENDER BLVD
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-2416
Practice Address - Country:US
Practice Address - Phone:575-318-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2014-0849207R00000X
NM1594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty