La Clinica De Familia, Incorporated
NPI #1457223653 in Santa Teresa, New Mexico
Provider Information
- NPI Number
- 1457223653
- Entity Type
- Organization
- Organization Name
- La Clinica De Familia, Incorporated
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 18, 2025
- Last Updated
- Sep 18, 2025
Practice Location
- Address
- 100 AIRPORT RD
- City
- Santa Teresa
- State
- New Mexico
- ZIP Code
- 88008-9703
- Phone
- (575) 874-9338
Authorized Official
- Name
- VIRGIL MEDINA
- Title
- CEO
- Phone
- (575) 526-1105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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