# ELITE HEALTHCARE NEW MEXICO

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

## Provider details

- **NPI number:** 1174929509
- **Authorized official:** DR. CHRISTINA HALL D.C. (CLINIC DIRECTOR)
- **Authorized official phone:** (505) 200-2306

## Contact information

- **Practice address:** 4301 THE 25 WAY NE \# B, ALBUQUERQUE, NM 87109-5850
- **Practice address phone:** (505) 200-2306
- **Practice address fax:** (505) 835-5439
- **Mailing address:** PO BOX 882, FRISCO, TX 75034-0015
- **Mailing address phone:** (972) 720-9943
- **Mailing address fax:** (972) 720-0115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC1936 | NM | — |
| 111NR0400X | Rehabilitation Chiropractor | DC1936 | NM | — |
| 261QP2000X | Physical Therapy Clinic/Center | DC1936 | NM | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | DC1936 | NM | Yes |

## Other

- **Enumeration date:** 11/12/2014
- **Last updated:** 11/12/2014