Individual
MICHAEL J TAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 S HUDSON ST STE 12, SILVER CITY, NM 88061-6184
(575) 388-4497
(575) 597-4499
Mailing address
1418 N CORBIN ST, SILVER CITY, NM 88061-6526
(575) 388-4497
(575) 597-4499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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