Organization
INTERNAL MEDICINE OF GRANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H N AUGENSTEIN MD (PHYSICIAN)
(505) 287-2621
Entity
Organization
Contact information
Practice address
101 GREENLEAF CT, GRANTS, NM 87020-4235
(505) 287-2621
(505) 287-5119
Mailing address
101 GREENLEAF CT, GRANTS, NM 87020-4235
(505) 287-2621
(505) 287-5119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2000-I38
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110218817
RAILROAD MEDICARE
NM
01
—
201025858
PRESBYTERIAN
NM
01
—
NM-003231
BCBS-AUGENSTEIN
NM
Enumeration date
07/19/2006
Last updated
07/10/2015
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