TAOS PROFESSIONAL SERVICES LLC NPI 1235597964

NPI Information

  • NPI: 1235597964
  • Provider Name: TAOS PROFESSIONAL SERVICES, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: TAOS HEALTH SYSTEMS PRIMARY CARE
  • Address: 1329 GUSDORF RD
    TAOS, NM
    ZIP 87571
  • Phone: (575) 737-3415

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NPI Details

TAOS PROFESSIONAL SERVICES, LLC is a general practice in Taos, NM. The provider is 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 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
1208D00000XGeneral Practice4075NEW MEXICOYes

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
1262945MEDICARE PINNEW 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: 11/21/2025

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