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Organization

ELITE HEALTHCARE NEW MEXICO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINA HALL D.C. (CLINIC DIRECTOR)
(505) 200-2306
Entity
Organization

Contact information

Practice address
4301 THE 25 WAY NE # B, ALBUQUERQUE, NM 87109-5850
(505) 200-2306
(505) 835-5439
Mailing address
PO BOX 882, FRISCO, TX 75034-0015
(972) 720-9943
(972) 720-0115

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC1936
NM
111NR0400X
Rehabilitation Chiropractor
DC1936
NM
261QP2000X
Physical Therapy Clinic/Center
DC1936
NM
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
DC1936
NM

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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