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Contact Information

JUAN TABO FOOT HEALTH CENTER, PC
1925 JUAN TABO BLVD NE
SUITE D
ALBUQUERQUE, NM87112-3366
 Phone: 505-293-6290
 Fax: 505-292-3014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JUAN TABO FOOT HEALTH CENTER, PC

NPI Number 1699060202
LBN Legal business name JUAN TABO FOOT HEALTH CENTER, PC
Authorized official RICHARD WEINSTEIN - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2011
Last updated 06/10/2011 - About 15 years ago
Identifiers
NM License # 145
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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