Whalio Doctors

NPI 1013115062

Taos Surgical Specialties LLC

Organisation Specialist Taos, NM

Practice location

Address
1399 Weimer Rd Suite # 600, Taos, NM 87571-6340
Phone
(575) 751-0334
Fax
(575) 751-0297

Authorised official

Name
Judy R Cockburn
Title
Practice Manager
Phone
(575) 751-0334

Registered specialties (3)

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence MD2004-0101 (NM)
Specialist
Other Service Providers Taxonomy 174400000X Licence 99-256 (NM)
Specialist
Other Service Providers Taxonomy 174400000X Licence 74-132 (NM)

Registry record

NPI
1013115062
Entity type
Organization
NPI issued
10 Jul 2007
Record last updated
6 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.