Healthcare Provider Details

I. General information

NPI: 1447355458
Provider Name (Legal Business Name): CENTER FOR REPRODUCTIVE MEDICINE OF NEW MEXICO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CEDAR SE SUITE SI-20
ALBUQUERQUE NM
87106-4900
US

IV. Provider business mailing address

201 CEDAR SE SUITE SI-20
ALBUQUERQUE NM
87106-4900
US

V. Phone/Fax

Practice location:
  • Phone: 505-224-7474
  • Fax: 505-224-7476
Mailing address:
  • Phone: 505-224-7474
  • Fax: 505-224-7476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS JAMES THOMPSON
Title or Position: PRESIDENT / OWNER
Credential: MD
Phone: 505-224-7474