Ultimed Red River, Inc.
NPI #1114220316 in Angel Fire, New Mexico
Provider Information
- NPI Number
- 1114220316
- Entity Type
- Organization
- Organization Name
- Ultimed Red River, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TAOS COMPREHENSIVE HEALTH CORPORATION
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Dec 9, 2010
- Last Updated
- Dec 14, 2010
Practice Location
- Address
- 37 ASPEN
- City
- Angel Fire
- State
- New Mexico
- ZIP Code
- 87710-0000
- Phone
- (575) 754-1773
Authorized Official
- Name
- DR. LESA FRAKER, MD
- Title
- PRESIDENT
- Phone
- (505) 989-8707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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