Healthcare Provider Details

I. General information

NPI: 1699079459
Provider Name (Legal Business Name): NM HEALTH CARE TO YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2011
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4535 SCHIFF TRAIL
SILVER CITY NM
88061
US

IV. Provider business mailing address

PO BOX 779
SILVER CITY NM
88062-0779
US

V. Phone/Fax

Practice location:
  • Phone: 575-534-0842
  • Fax: 575-534-0842
Mailing address:
  • Phone: 575-534-0842
  • Fax: 575-534-0842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberCNP00203
License Number StateNM

VIII. Authorized Official

Name: MS. TERESA MARIE MUNOZ
Title or Position: OWNER
Credential: FNP
Phone: 575-538-0842