| Mr Tony Lee Clark, NP | |
|
610 Red Hills Road, Hatch, NM 87937 | |
| (575) 520-0292 | |
| Not Available |
| Full Name | Mr Tony Lee Clark |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 610 Red Hills Road, Hatch, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659869659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 75659 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tony Lee Clark, NP 4542 Montgomery, Albuquerque, NM 87109 Ph: (575) 621-3940 | Mr Tony Lee Clark, NP 610 Red Hills Road, Hatch, NM 87937 Ph: (575) 520-0292 |
Cristina Davis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 Hwy 187, Hatch, NM 87937 Phone: 575-267-3088 Fax: 575-267-1747 | |
Gloria Garcia, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Hwy 187, Hatch, NM 87937 Phone: 575-267-3088 Fax: 575-267-1747 |