ROBERTA L. FENNIG DO PC NPI 1912259441

NPI Information

  • NPI: 1912259441
  • Provider Name: ROBERTA L. FENNIG DO PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 5305 MCNUTT RD
    SUITE H
    SANTA TERESA, NM
    ZIP 88008
  • Phone: (575) 589-1770

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NPI Details

ROBERTA L. FENNIG DO PC is a clinic center in Santa Teresa, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ROBERTA L. FENNIG DO PC NPI is 1912259441. The provider is registered as an organization entity type.

The provider's business location address is:

5305 MCNUTT RD
SUITE H
SANTA TERESA, NM
ZIP 88008-685
Phone: (575) 589-1770
Fax: (575) 589-1799

The provider's authorized official is Roberta Lee Fennig .
The authorized official title is President and has the following contact phone number (915) 494-1237.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 10/8/2012.

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
1261Q00000XClinic/CenterA167712NEW MEXICOYes

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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