Healthcare Provider Details

I. General information

NPI: 1255441051
Provider Name (Legal Business Name): AMERICAN MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 N. FOWLER
HOBBS NM
88240
US

IV. Provider business mailing address

2410 N FOWLER ST
HOBBS NM
88240-2312
US

V. Phone/Fax

Practice location:
  • Phone: 575-392-2040
  • Fax: 575-392-6752
Mailing address:
  • Phone: 575-392-2040
  • Fax: 575-392-6752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ALLEN HURT
Title or Position: OWNER/ADMINISTRATOR
Credential: M.D.
Phone: 575-392-2040