Individual
SAMUEL K TABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
81-325
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
81-325
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031922
—
NM
Enumeration date
01/04/2006
Last updated
10/28/2024
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