De Baca Family Practice Clinic
NPI #1003855032 in Fort Sumner, New Mexico
Provider Information
- NPI Number
- 1003855032
- Entity Type
- Organization
- Organization Name
- De Baca Family Practice Clinic
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 5, 2006
- Last Updated
- Oct 14, 2025
Practice Location
- Address
- 546 N. TENTH ST
- City
- Fort Sumner
- State
- New Mexico
- ZIP Code
- 88119
- Phone
- (505) 355-2414
Authorized Official
- Name
- LISA WALRAVEN
- Title
- CEO
- Phone
- (575) 355-2420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
Similar Providers
| Provider Name | |
|---|---|
| De Baca Family Practice Clinic Part of De Baca Family Practice Clinic |  AI Deep Dive |
| De Baca Family Practice Clinic Part of De Baca Family Practice Clinic | AI Deep Dive |
| De Baca Family Practice Clinic Part of De Baca Family Practice Clinic | AI Deep Dive |
| El Centro Family Health | AI Deep Dive |
| Hidalgo Medical Services | AI Deep Dive |
Want to research this healthcare provider further?
Try NewBizBot free