Santa Teresa Occmed Center, PC
NPI #1164603619 in Santa Teresa, New Mexico
Provider Information
- NPI Number
- 1164603619
- Entity Type
- Organization
- Organization Name
- Santa Teresa Occmed Center, PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 26, 2007
- Last Updated
- Nov 26, 2007
Practice Location
- Address
- 5055 MCNUTT RD
- City
- Santa Teresa
- State
- New Mexico
- ZIP Code
- 88008-9442
- Phone
- (505) 589-5005
Authorized Official
- Name
- MRS. REBECCA L. AYERS
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (915) 842-0504
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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