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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MANUEL PAVIA TAN M.D.
NPI 1396939096
General Practice in Las Cruces, NM

Active since September 05, 2007
4351 E LOHMAN AVE, STE 301, LAS CRUCES, NM 88011(575) 532-8900(575) 532-8910 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Manuel Pavia Tan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANUEL PAVIA TAN M.D. (NPI 1396939096) is an individual general practice provider in Las Cruces, New Mexico, licensed in New Mexico (93164) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1396939096
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MANUEL PAVIA TANCredential: M.D.
Location Address4351 E LOHMAN AVE, STE 301Las Cruces, NM 88011-8259
Mailing Address4351 E Lohman Ave, Ste 301Las Cruces, NM 88011-8259 · (575) 532-8900 · Fax (575) 532-8910
Phone(575) 532-8900
Fax(575) 532-8910
Sole ProprietorYes
Enumeration DateSeptember 5, 2007
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1396939096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NM · 93164
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4351 E LOHMAN AVE, Las Cruces, NM 88011
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Other Identifiers 1

MedicaidF9028NM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES LAWRENCE METZGER M.D.
Orthopaedic Surgery (Hand Surgery)
4351 E LOHMAN AVE, SUITE301
LAS CRUCES, NM 88011
Doña Ana County (575) 532-9755
RIO GRANDE MEDICAL GROUP
Clinical Medical Laboratory
4351 E LOHMAN AVE, SUITE 301
LAS CRUCES, NM 88011
Doña Ana County (505) 532-8900
BETHANY ANNE PHILLIPS-SMITH DO
Student in an Organized Health Care Education/Training Program
4351 E LOHMAN AVE
LAS CRUCES, NM 88011
Doña Ana County (575) 556-7600
NEW MEXICO CARDIOLOGY & ARRYTHMIA CONSULTANTS, PC
Internal Medicine (Cardiovascular Disease)
4351 E LOHMAN AVE, #408
LAS CRUCES, NM 88011
Doña Ana County (505) 532-5838
MRS. GUADALUPE R. TELFORD CNS
Clinical Nurse Specialist (Adult Health)
4351 E LOHMAN AVE, SUITE 408
LAS CRUCES, NM 88011
Doña Ana County (575) 532-7161
ELIZABETH E BIDWELL CNP
Nurse Practitioner (Pediatrics)
4351 E LOHMAN AVE, SUITE 301
LAS CRUCES, NM 88011
Doña Ana County (575) 832-8900
LAS CRUCES PHYSICIAN PRACTICES, LLC
Surgery (Vascular Surgery)
4351 E LOHMAN AVE, SUITE 403
LAS CRUCES, NM 88011
Doña Ana County (575) 521-5277
ZIA FAMILY MEDICINE PC
Family Medicine
4351 E LOHMAN AVE, STE 208
LAS CRUCES, NM 88011
Doña Ana County (505) 532-1456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manuel Tan's NPI number?

The NPI number for Manuel Tan is 1396939096. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Manuel Tan located?

Manuel Tan practices at 4351 E Lohman Ave Ste 301, Las Cruces, NM 88011. The listed phone number is (575) 532-8900.

What is Manuel Tan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Manuel Tan was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.