| Denovo Clinical Specialists, P.c. | |
|
1245 Country Club Rd Ste 200 Santa Teresa NM 88008-9743 | |
| (575) 332-4633 | |
| (575) 332-4633 |
| Full Name | Denovo Clinical Specialists, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1245 Country Club Rd Ste 200, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Lorena Carrillo Henderson (NURSE PRACTITIONER) |
| Authorized Official Contact | 9567391796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denovo Clinical Specialists, P.c. 1245 Country Club Rd Ste 200 Santa Teresa NM 88008-9743 Ph: (575) 332-4633 | Denovo Clinical Specialists, P.c. 1245 Country Club Rd Ste 200 Santa Teresa NM 88008-9743 Ph: (575) 332-4633 |
| NPI Number | 1700240991 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700240991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CNP-02601 (New Mexico) | Primary |
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