Molina Healthcare Of New Mexico | |
400 Tijeras Ave Nw Albuquerque NM 87102-3234 | |
(888) 562-5441 | |
Not Available |
Full Name | Molina Healthcare Of New Mexico |
---|---|
Speciality | Family Medicine |
Location | 400 Tijeras Ave Nw, Albuquerque, New Mexico |
Authorized Official Name and Position | Daniel Sorrells (PLAN PRESIDENT-MHNM) |
Authorized Official Contact | 8885625442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Molina Healthcare Of New Mexico 200 Oceangate Ste 100 Long Beach CA 90802-4317 Ph: (888) 562-5442 | Molina Healthcare Of New Mexico 400 Tijeras Ave Nw Albuquerque NM 87102-3234 Ph: (888) 562-5441 |
NPI Number | 1649782962 |
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Provider Enumeration Date | 10/26/2017 |
Last Update Date | 10/26/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649782962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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