Healthcare Provider Details

I. General information

NPI: 1871558916
Provider Name (Legal Business Name): BARBARA JAMES MORA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E 32ND ST
SILVER CITY NM
88061-7287
US

IV. Provider business mailing address

49 SPRING CREEK RD
SILVER CITY NM
88061-8716
US

V. Phone/Fax

Practice location:
  • Phone: 575-538-2981
  • Fax: 575-388-3373
Mailing address:
  • Phone: 575-534-0661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number79-185
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: