Healthcare Provider Details

I. General information

NPI: 1154494011
Provider Name (Legal Business Name): BEBE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4333 PAN AMERICAN FWY NE STE B
ALBUQUERQUE NM
87107-6833
US

IV. Provider business mailing address

4333 PAN AMERICAN FWY NE STE B
ALBUQUERQUE NM
87107-6833
US

V. Phone/Fax

Practice location:
  • Phone: 505-266-3835
  • Fax: 505-266-3340
Mailing address:
  • Phone: 505-266-3835
  • Fax: 505-266-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DORSEY M BEGGS
Title or Position: MD/OWNER
Credential: MD
Phone: 505-250-6731