Organization
TADDY HEALTHCARE SERVICES
Active
Other names
TADDY FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NII TETTEH TSURU ADDY D.O (PRESIDENT)
(989) 482-1002
Entity
Organization
Contact information
Practice address
615 W MERMOD ST, CARLSBAD, NM 88220-4912
(575) 885-7714
(575) 885-7714
Mailing address
615 W MERMOD ST, CARLSBAD, NM 88220-3513
(575) 885-7714
(575) 885-7714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-1299-05
NM
261QU0200X
Urgent Care Clinic/Center
A-1299-05
NM
Other
Enumeration date
01/21/2010
Last updated
09/14/2016
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