| Family Practice Llc | |
|
201 N Alameda St Carlsbad NM 88220-4933 | |
| (505) 234-2008 | |
| (505) 885-1075 |
| Full Name | Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 N Alameda St, Carlsbad, New Mexico |
| Authorized Official Name and Position | Marta C. Gallegos (OWNER) |
| Authorized Official Contact | 5052342008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Llc 201 N Alameda St Carlsbad NM 88220-4933 Ph: (505) 234-2008 | Family Practice Llc 201 N Alameda St Carlsbad NM 88220-4933 Ph: (505) 234-2008 |
| NPI Number | 1124116736 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124116736 | NPI | - | NPPES |
| 21606714 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2001-33 (New Mexico) | Primary |
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