| Molina Healthcare Of New Mexico | |
|
7317 Central Ne Albuquerque NM 87108-2015 | |
| (505) 553-1630 | |
| (562) 499-6171 |
| Full Name | Molina Healthcare Of New Mexico |
|---|---|
| Speciality | Family Medicine |
| Location | 7317 Central Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Tina M Padron (AFC, WESTERN REGIONAL DIRECTOR CLIN) |
| Authorized Official Contact | 5624996191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Healthcare Of New Mexico 100 Oceangate Suite 100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Healthcare Of New Mexico 7317 Central Ne Albuquerque NM 87108-2015 Ph: (505) 553-1630 |
| NPI Number | 1750653069 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750653069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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