Organization
SOUTH WEST MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BUSTILLOS (DOO)
(575) 332-4007
Entity
Organization
Contact information
Practice address
5805 MCNUTT RD STE D, SANTA TERESA, NM 88008-8001
(575) 332-4007
Mailing address
5805 MCNUTT RD STE D, SANTA TERESA, NM 88008-8001
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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