NPI 1790157980

San Miguel Clinic Corp

Organisation Family Medicine Physician Las Vegas, NM

Practice location

Address: 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972
Phone: (505) 425-2662
Fax: (505) 425-6410
Mailing address: PO Box 689022, Franklin, TN 37068-9022

Authorised official

Name: James P Wright
Title: Director
Phone: (615) 778-1502

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in New Mexico →

Registry record

NPI: 1790157980
Entity type: Organization
NPI issued: 27 Oct 2015
Record last updated: 27 Oct 2015

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.