| Trinity Family Medicine, P. C. | |
|
701 Arizona St. Suite A Clovis NM 88101 | |
| (575) 742-3033 | |
| (575) 742-1133 |
| Full Name | Trinity Family Medicine, P. C. |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Arizona St. Suite A, Clovis, New Mexico |
| Authorized Official Name and Position | Charles Daniel Oteo (CEO) |
| Authorized Official Contact | 5757144505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family Medicine, P. C. 701 Arizona St. Suite A Clovis NM 88101 Ph: (575) 742-3033 | Trinity Family Medicine, P. C. 701 Arizona St. Suite A Clovis NM 88101 Ph: (575) 742-3033 |
| NPI Number | 1437264447 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/26/2017 |
| Medicare PECOS PAC ID | 8527969146 |
|---|---|
| Medicare Enrollment ID | O20040116000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437264447 | NPI | - | NPPES |
| 46488260 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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