| New Mexico Neurology Associates Pc | |
|
4273 Montgomery Ne Suite 110 Albuquerque NM 87109-6746 | |
| (505) 944-7555 | |
| (505) 944-7552 |
| Full Name | New Mexico Neurology Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4273 Montgomery Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Beth A Berger (OFFICE MANAGER) |
| Authorized Official Contact | 5059447555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Neurology Associates Pc 4273 Montgomery Ne Suite 110 Albuquerque NM 87109-6746 Ph: (505) 944-7555 | New Mexico Neurology Associates Pc 4273 Montgomery Ne Suite 110 Albuquerque NM 87109-6746 Ph: (505) 944-7555 |
| NPI Number | 1699825653 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981605227 |
|---|---|
| Medicare Enrollment ID | O20070129000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699825653 | NPI | - | NPPES |
| 45294 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Manuel A. Gurule |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235297839 PECOS PAC ID: 4688675929 Enrollment ID: I20100916001354 |
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