Henry M Stachura, MD | |
516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | |
(505) 722-1000 | |
(505) 722-1702 |
Full Name | Henry M Stachura |
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Gender | Male |
Speciality | Surgery |
Location | 516 E. Nizhoni Blvd., Gallup, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518991173 | NPI | - | NPPES |
00020604 | Medicaid | NM | |
769060 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 94-400 (New Mexico) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Henry M Stachura, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 | Henry M Stachura, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Charles J.s. Guimaraes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Red Rock Dr., Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200 | |
Dr. Loretta L Christensen, MD Surgery Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Maria P Gobencion, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Jack B Fralinger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1226 | |
Dr. Chayanin Musikasinthorn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Kimberly Marie Collins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Redrock Dr, Gallup, NM 87301 Phone: 505-863-7200 | |
William L Shankel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 |