Organization
FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA C. GALLEGOS M.D. (OWNER)
(505) 234-2008
Entity
Organization
Contact information
Practice address
201 N ALAMEDA ST, CARLSBAD, NM 88220-4933
(505) 234-2008
(505) 885-1075
Mailing address
201 N ALAMEDA ST, CARLSBAD, NM 88220-4933
(505) 234-2008
(505) 885-1075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001-33
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21606714
—
NM
Enumeration date
10/10/2006
Last updated
08/22/2020
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