Individual
JORGE ABALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
702 N 13TH ST, ARTESIA, NM 88210-1166
(575) 746-3119
Mailing address
PO BOX 629, ARTESIA, NM 88211-0629
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A-960-92
NM
207Q00000X
Family Medicine Physician
A96092
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E6596
—
NM
Enumeration date
11/02/2005
Last updated
05/12/2025
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