NPI 1790946739

University of New Mexico Medical Group, INC.

Organisation Student Health Clinic/Center Tijeras, NM

Practice location

Address: 11799 State Highway 14 S, Tijeras, NM 87059-8619
Phone: (505) 281-3602
Fax: (505) 281-3602
Mailing address: Unm School Based Health Ctrs Msc09 5040, Albuquerque, NM 87131-0001

Authorised official

Name: Anthony Masciotra
Title: Ceo
Phone: (505) 272-8950

Registered specialties

Student Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS1000X Licence PA 2004-0048 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1790946739
Entity type: Organization
NPI issued: 23 Jun 2008
Record last updated: 23 Jun 2008

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.