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Individual

DR. JESUS TAFOYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 434-0119
(877) 553-1272
Mailing address
3601 4TH ST # MS 8143, LUBBOCK, TX 79430-0002
(806) 743-6130

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10049903
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84027568
NM
Enumeration date
06/05/2014
Last updated
02/03/2025
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