Organization
ALBUQUERQUE MINIMALLY INVASIVE UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D THOMAS MD (OWNER)
(915) 351-6020
Entity
Organization
Contact information
Practice address
1700 N MESA ST, EL PASO, TX 79902-3504
(915) 351-6020
(915) 351-6048
Mailing address
1700 N MESA ST, EL PASO, TX 79902-3504
(915) 351-6020
(915) 351-6048
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G3848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X0102
—
NM
Enumeration date
12/04/2008
Last updated
10/03/2014
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