TAOS PROFESSIONAL SERVICES LLC NPI 1235597964

NPI Information

NPI: 1235597964
Provider Name: TAOS PROFESSIONAL SERVICES, LLC

Other Name: TAOS HEALTH SYSTEMS PRIMARY CARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1329 GUSDORF RD
TAOS, NM
ZIP 87571
Phone: (575) 737-3415
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TAOS PROFESSIONAL SERVICES, LLC is a general practice in Taos, NM. TAOS PROFESSIONAL SERVICES, LLC NPI is 1235597964. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Taos Health Systems Primary Care.

The provider's business location address is:

1329 GUSDORF RD
TAOS, NM
ZIP 87571-282
Phone: (575) 737-3415
Fax: (575) 737-3416

The provider's authorized official is Bill Patten .
The authorized official title is Ceo and has the following contact phone number (575) 751-5714.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		4075	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	262945	MEDICARE PIN	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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