Organization
ABALOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE ABALOS D.O. (FAMILY PRACTICE)
(505) 703-8016
Entity
Organization
Contact information
Practice address
702 N 13TH ST, ARTESIA, NM 88210-1166
(505) 748-3333
Mailing address
PO BOX 1440, ARTESIA, NM 88211-1440
(505) 703-8016
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
A960-92
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E6596
—
NM
Enumeration date
11/09/2006
Last updated
06/13/2008
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