# SAN MIGUEL PHYSICIAN SERVICES LLC

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

## Provider details

- **NPI number:** 1164756862
- **Authorized official:** DR. WILLIAM C. SCHUMACHER MD (CEO)
- **Authorized official phone:** (800) 893-9698

## Contact information

- **Practice address:** 104 LEGION DR, LAS VEGAS, NM 87701-4804
- **Practice address phone:** (505) 426-3500
- **Mailing address:** 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
- **Mailing address phone:** (800) 893-9698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 09/28/2009