De Baca Family Practice Clinic
NPI #1114737483 in Fort Sumner, New Mexico
Provider Information
- NPI Number
- 1114737483
- Entity Type
- Organization
- Organization Name
- De Baca Family Practice Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DE BACA FAMILY PRACTICE CLINIC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 9, 2025
- Last Updated
- Oct 14, 2025
Practice Location
- Address
- 546 N 10TH STREET
- City
- Fort Sumner
- State
- New Mexico
- ZIP Code
- 88119
- Phone
- (575) 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
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| 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 |
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