# FAMILY PRACTICE ASSOCIATES OF TAOS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY PRACTICE ASSOCIATES OF TAOS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407195233
- **Legal business name:** FAMILY PRACTICE ASSOCIATES OF TAOS
- **Authorized official:** DR. LAWRENCE SCHREIBER M.D. (PARTNER)
- **Authorized official phone:** (575) 758-3005

## Contact information

- **Practice address:** 630 PASEO DEL PUEBLO SUR STE 150, TAOS, NM 87571-7002
- **Practice address phone:** (575) 758-3005
- **Practice address fax:** (575) 758-7010
- **Mailing address:** 630 PASEO DEL PUEBLO SUR STE 150, TAOS, NM 87571-7002
- **Mailing address phone:** (575) 758-3005
- **Mailing address fax:** (575) 758-7010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2013
- **Last updated:** 04/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 46268 | — | NM |
