Individual
CARL TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6300
(505) 727-9588
Mailing address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6300
(505) 727-9588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M2485
TX
208000000X
Pediatrics Physician
Primary
MD2018-0464
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179029701
—
TX
05
—
36478725
—
NM
Enumeration date
10/17/2006
Last updated
09/06/2018
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