NPI 1821364902

Family Clinic of New Mexico

Organisation Preferred Provider Organization Albuquerque, NM

Practice location

Address: 4600 Jefferson Ln NE Suite D, Albuquerque, NM 87109-2134
Phone: (505) 881-4012
Fax: (505) 881-4883

Authorised official

Name: Carla Franco
Title: President
Phone: (505) 881-4012

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CNP00453 (NM)

Other Preferred Provider Organization providers in New Mexico →

Registry record

NPI: 1821364902
Entity type: Organization
NPI issued: 22 Mar 2012
Record last updated: 22 Mar 2012

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.