Healthcare Provider Details

I. General information

NPI: 1871408864
Provider Name (Legal Business Name): NEXGEN HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 SAN PEDRO DR NE STE C8-G
ALBUQUERQUE NM
87110-8900
US

IV. Provider business mailing address

3939 SAN PEDRO DR NE STE C8-G
ALBUQUERQUE NM
87110-8900
US

V. Phone/Fax

Practice location:
  • Phone: 505-659-4050
  • Fax:
Mailing address:
  • Phone: 505-659-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA O MASON
Title or Position: CO-OWNER
Credential:
Phone: 505-306-7363