Organization
QUICK FIX MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHRIS GONZALES (OWNER)
(505) 254-9748
Entity
Organization
Contact information
Practice address
1035 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-3609
(505) 254-9748
(505) 255-0084
Mailing address
1035 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-3609
(505) 254-9748
(505) 255-0084
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
FA0037900
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0416
—
NM
Enumeration date
07/06/2007
Last updated
08/22/2020
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