Individual
THOMAS ALLEN MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
905 S 8TH ST STE B, DEMING, NM 88030-4037
(575) 543-7200
Mailing address
905 S 8TH ST STE B, DEMING, NM 88030-4037
(575) 543-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67511
NM
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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