# NEW MEXICO FACIAL PLASTICS PC

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

## Provider details

- **NPI number:** 1760515589
- **Authorized official:** FARHAN TAGHIZADEH MD (PRESIDENT)
- **Authorized official phone:** (505) 888-3223

## Contact information

- **Practice address:** 6200 UPTWON BLVD, SUITE 419, ALBUQUERQUE, NM 87110-4159
- **Practice address phone:** (505) 888-3223
- **Practice address fax:** (505) 888-3224
- **Mailing address:** 6200 UPTOWN BLVD NE, SUITE 419, ALBUQUERQUE, NM 87110-4159
- **Mailing address phone:** (505) 888-3223
- **Mailing address fax:** (505) 888-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | MD20050527 | NM | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | MD20050527 | NM | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | MD20050527 | NM | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 11/10/2008
