Organization
TAOS PROFESSIONAL SERVICES,LLC
Active
Parent organization
TAOS HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAOS HEALTH SYSTEMS
Authorized official
SUSAN DYMOND (MNGR)
(575) 751-5746
Entity
Organization
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 751-5746
(575) 751-7661
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8883
(575) 751-7661
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
10/11/2011
Last updated
06/08/2012
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