Organization
SANDRA L SHUYA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SHUYA MSN (PRESIDENT)
(915) 235-7676
Entity
Organization
Contact information
Practice address
1245 COUNTRY CLUB RD, STE. 200, SANTA TERESA, NM 88008-9743
(915) 235-7676
(915) 243-6006
Mailing address
1245 COUNTRY CLUB RD, STE. 200, SANTA TERESA, NM 88008-9743
(915) 235-7676
(915) 243-6006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CNP-02567
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932478955
NPI
TX
Enumeration date
02/18/2015
Last updated
02/18/2015
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