| Zencare Family Wellness Llc | |
|
301 S Roselawn Ave Artesia NM 88210-2462 | |
| (575) 746-3616 | |
| (575) 748-2544 |
| Full Name | Zencare Family Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 S Roselawn Ave, Artesia, New Mexico |
| Authorized Official Name and Position | Terah Sexton (OWNER) |
| Authorized Official Contact | 5757463616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zencare Family Wellness Llc Po Box 157 Artesia NM 88211-0157 Ph: (575) 746-3616 | Zencare Family Wellness Llc 301 S Roselawn Ave Artesia NM 88210-2462 Ph: (575) 746-3616 |
| NPI Number | 1043950736 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 07/06/2023 |
| Medicare PECOS PAC ID | 3779969167 |
|---|---|
| Medicare Enrollment ID | O20221010000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043950736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20220516000553 |
| Provider Name | Dominique M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306153069 PECOS PAC ID: 6406198662 Enrollment ID: I20240610001028 |
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