Organization
LA FAMILIA PRIMARY CARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISBAH D ZMILY M.D. (OWNERPRESIDENT)
(505) 445-5563
Entity
Organization
Contact information
Practice address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(575) 445-5566
Mailing address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(575) 445-5566
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
96-165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56903
—
NM
01
—
607623110P
R.R. MEDICARE
NM
Enumeration date
10/23/2006
Last updated
11/23/2022
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