Organization · Type 2 NPI
University of New Mexico Medical Group, Inc.
Student Health Clinic/Center · Tijeras, NM
NPI number
1790946739
Active
Practice location
11799 State Highway 14 S
Tijeras, NM 87059-8619
Fax (505) 281-3602
Mailing address
Unm School Based Health Ctrs, MSC09 5040
Albuquerque, NM 87131-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | PA 2004-0048 (NM) |
Student Health Clinic/Center: Definition to come...
About NPI 1790946739
University of New Mexico Medical Group, Inc.'s National Provider Identifier is 1790946739, issued on Jun 23, 2008. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Tijeras, NM. The record was last updated on Jun 23, 2008.