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Contact Information

TAOS PROFESSIONAL SERVICES,LLC
1397 WEIMER RD
TAOS, NM87571-6253
 Phone: 575-751-5746
 Fax: 575-751-7661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Clinical Pathology

207ZC0006X 22 Physician/Pathology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for TAOS PROFESSIONAL SERVICES,LLC

NPI Number 1891070777
LBN Legal business name TAOS PROFESSIONAL SERVICES,LLC
Authorized official SUSAN DYMOND - (MNGR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/11/2011
Last updated 06/08/2012 - About 14 years ago
Identifiers n/a
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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