Individual
ILHAN YILDIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 EL PASO RD, RUIDOSO, NM 88345-6033
(575) 630-8350
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J2854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CT573
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/05/2006
Last updated
02/10/2020
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