institution
University Of New Mexico Medical Group, Inc.
Student Health Clinic/Center in Tijeras, New Mexico
NPI 1790946739

University Of New Mexico Medical Group, Inc. is a Student Health Clinic/Center based in Albuquerque, NM and is specialized in Student Health. University Of New Mexico Medical Group, Inc. practices in Tijeras, NM. The NPI Number for University Of New Mexico Medical Group, Inc. is 1790946739 and holds a License No. PA 2004-0048 (New Mexico).

The current practice location address for University Of New Mexico Medical Group, Inc. is 11799 State Highway 14 S, Tijeras, NM and can be reached out via phone at 505-281-3602 and via fax at 505-281-3602.

Location: 11799 State Highway 14 S, Tijeras, NM, 87131-0001
institution
Provider Profile Details
NPI Number
1790946739
Provider Name
University Of New Mexico Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
11799 State Highway 14 S, Tijeras, NM, 87131-0001
Phone Number
505-281-3602
Fax Number
505-281-3602
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3A07 05 NM
institution
Provider Business Practice Location Address Details
Address
11799 State Highway 14 S
City
State
Zip
87059-8619
Phone Number
505-281-3602
Fax Number
505-281-3602
person
Provider Business Mailing Address Details
Address
11799 State Highway 14 S
City
State
Zip
87059-8619
Phone Number
505-281-3602
Fax Number
505-281-3602
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
PA 2004-0048 (New Mexico)
Definition
Definition to come...
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