Healthcare Provider Details

I. General information

NPI: 1104757251
Provider Name (Legal Business Name): AUXION CARE CONCIERGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6460 VISTA VALLEY TRL
LAS CRUCES NM
88007-6069
US

IV. Provider business mailing address

6460 VISTA VALLEY TRL
LAS CRUCES NM
88007-6069
US

V. Phone/Fax

Practice location:
  • Phone: 505-453-1535
  • Fax:
Mailing address:
  • Phone: 505-453-1535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUZETTE R TIDMORE
Title or Position: CEO
Credential:
Phone: 505-453-1535