Whalio Doctors

NPI 1003590886

Tayde Analy Contreras, OD

Practitioner Optometrist Gallup, NM

Practice location

Address
516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone
(505) 722-1000
Mailing address
4509 Waits Ave, Fort Worth, TX 76133-1540

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 13405450-9934 (UT)

Registry record

NPI
1003590886
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Jun 2023
Record last updated
13 Jun 2023

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.