Organization
NEW MEXICO PLASTIC SURGEONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADYS S TSAO-WU M.D. (PARTNER)
(505) 842-6868
Entity
Organization
Contact information
Practice address
1020 TIJERAS AVE NE, STE. 16, ALBUQUERQUE, NM 87106-4749
(505) 842-6868
(505) 842-9325
Mailing address
1020 TIJERAS AVE NE, STE. 16, ALBUQUERQUE, NM 87106-4749
(505) 842-6868
(505) 842-9325
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
PT0098434
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58905863
—
NM
Enumeration date
12/18/2008
Last updated
11/29/2010
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