DESERT WOLF HEALTHCARE LLC; NPI #1366264111

Contact Information

DESERT WOLF HEALTHCARE LLC

2509 VIRGINIA ST NE STE B
ALBUQUERQUE, NM 87110-4695

Phone: 505-318-0717
Fax: 505-349-0803
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for DESERT WOLF HEALTHCARE LLC

NPI #	`1366264111`
LBN Legal business name	DESERT WOLF HEALTHCARE LLC
Authorized official	CHRISTOPHER MYERS - (PHYSICIAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/31/2024
Last updated	11/12/2024 - More than a year 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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