Organization · Type 2 NPI
Agnes Martinez Family Health Clinic
Health Service Clinic/Center · Mora, NM
NPI number
1205010881
Active
Practice location
State Highway 518 Mile Marker 29
Mora, NM 87732-0185
Fax (505) 387-5502
Mailing address
PO Box 185
Mora, NM 87732-0185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 363LF0000X (NM) |
Health Service Clinic/Center: Definition to come...
About NPI 1205010881
Agnes Martinez Family Health Clinic's National Provider Identifier is 1205010881, issued on Dec 19, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Mora, NM. The record was last updated on Dec 19, 2007.