Organization
ROBERTA L. FENNIG DO PC
Active
Organization
ROBERTA L. FENNIG DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA LEE FENNIG DO (PRESIDENT)
(915) 494-1237
Entity
Organization
Contact information
Practice address
5305 MCNUTT RD, SUITE H, SANTA TERESA, NM 88008-9685
(575) 589-1770
(575) 589-1799
Mailing address
PO BOX 4, SANTA TERESA, NM 88008-0004
(575) 589-1770
(575) 589-1799
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A167712
NM
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up