Healthcare Provider Details

I. General information

NPI: 1669760344
Provider Name (Legal Business Name): TAMARA SINGLETON, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2011
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1167A HWY 554
EL RITO NM
87530
US

IV. Provider business mailing address

PO BOX 805
EL RITO NM
87530-0805
US

V. Phone/Fax

Practice location:
  • Phone: 575-581-0033
  • Fax: 575-581-0034
Mailing address:
  • Phone: 575-581-0033
  • Fax: 575-581-0034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMARA ALYNN SINGLETON
Title or Position: OWNER/DOCTOR
Credential: M.D.
Phone: 575-581-0033