Organization
ULTIMED RED RIVER, INC.
Active
Parent organization
TAOS COMPREHENSIVE HEALTH CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAOS COMPREHENSIVE HEALTH CORPORATION
Authorized official
DR. LESA D FRAKER MD (PRESIDENT)
(505) 989-8707
Entity
Organization
Contact information
Practice address
200A PIONEER RD, RED RIVER, NM 87558
(575) 754-1773
Mailing address
707 PASEO DE PERALTA, SANTA FE, NM 87501-1922
(575) 754-1773
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
12/14/2010
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