NEW MEXICO PLASTIC SURGEONS PC NPI 1629214838

NPI Information

NPI: 1629214838
Provider Name: NEW MEXICO PLASTIC SURGEONS, PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1020 TIJERAS AVE NE
STE. 16
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 842-6868
Get Directions

NEW MEXICO PLASTIC SURGEONS, PC is a plastic and reconstructive surgery surgery in Albuquerque, NM. The provider is a surgeon who specializes in plastic and reconstructive surgery. NEW MEXICO PLASTIC SURGEONS, PC NPI is 1629214838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 TIJERAS AVE NE
STE. 16
ALBUQUERQUE, NM
ZIP 87106-749
Phone: (505) 842-6868
Fax: (505) 842-9325

The provider's authorized official is Gladys S Tsao-wu .
The authorized official title is Partner and has the following contact phone number (505) 842-6868.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 11/29/2010.

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	2086S0122X	Surgery	Plastic and Reconstructive Surgery	PT0098434	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	58905863	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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