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Contact Information

BOSQUE CLINIC LLC
1400 JACKIE RD SE STE 106
RIO RANCHO, NM87124-1518
 Phone: 505-934-1071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BOSQUE CLINIC LLC

NPI # 1033977780
LBN Legal business name BOSQUE CLINIC LLC
Authorized official ROBERT MARTINEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2024
Last updated 04/07/2025 - 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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