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Contact Information

NEW MEXICO GYNECOLOGY CONSULTANTS, PC
4901 LANG AVE., NE
SUITE 203
ALBUQUERQUE, NM87109-4597
 Phone: 505-242-5353
 Fax: 505-242-9788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for NEW MEXICO GYNECOLOGY CONSULTANTS, PC

NPI Number 1114074457
LBN Legal business name NEW MEXICO GYNECOLOGY CONSULTANTS, PC
Authorized official FRANK FISK - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2007
Last updated 11/29/2012 - About 14 years ago
Identifiers
NM Medicaid 7104
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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