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Organization

BOSQUE CLINIC LLC

Active
Other names
The Bosque Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT MARTINEZ NP (OWNER)
(505) 934-1071
Entity
Organization

Contact information

Practice address
1400 JACKIE RD SE STE 106, RIO RANCHO, NM 87124-1518
(505) 934-1071
Mailing address
1400 JACKIE RD SE STE 106, RIO RANCHO, NM 87124-1518
(505) 934-1071
(505) 451-0054

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
03/07/2024
Last updated
04/07/2025
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