TAOS SURGICAL SPECIALTIES LLC NPI 1013115062

NPI Information

TAOS SURGICAL SPECIALTIES LLC is a specialist in Taos, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TAOS SURGICAL SPECIALTIES LLC NPI is 1013115062. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1399 WEIMER RD
SUITE # 600
TAOS, NM
ZIP 87571-340
Phone: (575) 751-0334
Fax: (575) 751-0297

The provider's authorized official is Judy R Cockburn .
The authorized official title is Practice Manager and has the following contact phone number (575) 751-0334.

The CLIA number assigned to this NPI record is 10D1016543 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 11/6/2007.

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:

Other Identifiers

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