ESPES ESTLLC NPI 1528359148

NPI Information

NPI: 1528359148
Provider Name: ESPES EST,LLC

Doing Business As: GALLUP NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1211 E AZTEC AVE
GALLUP, NM
ZIP 87301
Phone: (505) 870-9647
Get Directions

ESPES EST,LLC is a neurology psychiatry neurology in Gallup, NM. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ESPES EST,LLC NPI is 1528359148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gallup Neurology.

The provider's business location address is:

1211 E AZTEC AVE
GALLUP, NM
ZIP 87301-901
Phone: (505) 870-9647

The provider's authorized official is Flor Jarasa Caballar Gonzaga .
The authorized official title is Organizer/member and has the following contact phone number (505) 870-9647.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 10/28/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0200X	Internal Medicine	Infectious Disease	97-60	NEW MEXICO	No
2	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	97-23	NEW MEXICO	No
3	2084S0012X	Psychiatry & Neurology	Sleep Medicine	97-23	NEW MEXICO	No
4	2084N0400X	Psychiatry & Neurology	Neurology	97-23	NEW MEXICO	Yes

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

NPI Synchronization or Removal

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