Dr Jack Shoup Garland, MD is a
Pathology - Anatomic Pathology physician based in Taos, New Mexico. Dr Jack Shoup Garland is licensed to practice in New Mexico (license number 2002-0370) and his current practice location is 1397 Weimer Rd, Taos, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 751-5884.
NPI number for Dr Jack Shoup Garland is 1538340005 and his current mailing address is 1397 Weimer Rd, Taos, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538340005.
Physician's Profile
| Full Name | Dr Jack Shoup Garland |
|---|
| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology |
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| Location | 1397 Weimer Rd, Taos, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538340005
- Provider Enumeration Date: 11/26/2007
- Last Update Date: 11/26/2007
Medical Identifiers
Medical identifiers for Dr Jack Shoup Garland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538340005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0101X | Pathology - Anatomic Pathology | 2002-0370 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Shoup Garland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jack Shoup Garland, MD 1397 Weimer Rd, Taos, NM 87571-6284 Ph: (505) 751-5884 | Dr Jack Shoup Garland, MD 1397 Weimer Rd, Taos, NM 87571-6284 Ph: (505) 751-5884 |
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