Organization
COMPREHENSIVE GASTROSTOMY TUBE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GARCIA NP (OWNER)
(505) 401-0761
Entity
Organization
Contact information
Practice address
8100 WYOMING BLVD NE STE M4-701, ALBUQUERQUE, NM 87113-1946
(505) 401-0760
Mailing address
8100 WYOMING BLVD NE STE M4-701, ALBUQUERQUE, NM 87113-1946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
12/04/2020
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