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TAOS CLINIC FOR CHILDREN AND YOUTH NPI 1154350205


NPI Information

NPI: 1154350205
Provider Name: TAOS CLINIC FOR CHILDREN AND YOUTH
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 32D0687591

Address:
1393 WEIMER RD
TAOS, NM
ZIP 87571
Phone: (575) 758-8651
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TAOS CLINIC FOR CHILDREN AND YOUTH is a pediatrics in Taos, NM. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TAOS CLINIC FOR CHILDREN AND YOUTH NPI is 1154350205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1393 WEIMER RD
TAOS, NM
ZIP 87571-253
Phone: (575) 758-8651
Fax: (575) 758-7811

The provider's authorized official is Dick Schlarbaum .
The authorized official title is Office Manager and has the following contact phone number (575) 758-8651.

The CLIA number assigned to this NPI record is 32D0687591 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 5/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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: 4/28/2024

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