# RIO PECOS FAMILY PRACTICE OF LINCOLN COUNTY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083891030
- **Authorized official:** MRS. BRENDA L SEIDEL (ADMINISTRATOR)
- **Authorized official phone:** (505) 257-3681

## Contact information

- **Practice address:** 159 MESCALERO TRL, RUIDOSO, NM 88345-6089
- **Practice address phone:** (505) 257-3681
- **Practice address fax:** (505) 257-4036
- **Mailing address:** 159 MESCALERO TRL, RUIDOSO, NM 88345-6089
- **Mailing address phone:** (505) 257-3681
- **Mailing address fax:** (505) 257-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 06/16/2008