| High Desert Neurology | |
|
4131 Barbara Loop Se Suite 1-a Rio Rancho NM 87124-1362 | |
| (505) 892-8915 | |
| (505) 994-3028 |
| Full Name | High Desert Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 4131 Barbara Loop Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Jerry K Williams (PRINCIPAL) |
| Authorized Official Contact | 5058928915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Neurology Po Box 44430 Rio Rancho NM 87174-4430 Ph: (505) 892-8915 | High Desert Neurology 4131 Barbara Loop Se Suite 1-a Rio Rancho NM 87124-1362 Ph: (505) 892-8915 |
| NPI Number | 1487754735 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487754735 | NPI | - | NPPES |
| 201047864 | Other | NM | PHP & SALUD |
| 23432 | Medicaid | NM | |
| 00NM009T07 | Other | NM | BCBS |
| C100521093 | Other | NM | UNITED AMERICAN |
| NM9999 | Other | NM | MUTUAL OF OMAHA |
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