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Contact Information

SOUTHWEST FAMILY PRACTICE, PC
304 N. LOCKE AVE.
FARMINGTON
FARMINGTON, NM87401
 Phone: 505-324-1100
 Fax: 505-324-1117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SOUTHWEST FAMILY PRACTICE PC · (Female)

NPI Number 1215025390
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2006
Last updated 07/01/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 97-202
  • NM Medicaid R7312
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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