Organization
TAOS PROFESSIONAL SERVICES, LLC
Active
Parent organization
TAOS PROFESSIONAL SERVICES, LLC
Other names
Taos Health Systems Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAOS PROFESSIONAL SERVICES, LLC
Authorized official
MR. BILL PATTEN (CEO)
(575) 751-5714
Entity
Organization
Contact information
Practice address
1329 GUSDORF RD, TAOS, NM 87571-6282
(575) 737-3415
(575) 737-3416
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 751-8900
(575) 751-3723
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4075
NM
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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