Healthcare Provider Details

I. General information

NPI: 1477418788
Provider Name (Legal Business Name): TAOS MEDICAL BILLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 GUSDORF RD STE 5
TAOS NM
87571-5407
US

IV. Provider business mailing address

PO BOX 201
TAOS NM
87571-0201
US

V. Phone/Fax

Practice location:
  • Phone: 575-770-9745
  • Fax:
Mailing address:
  • Phone: 575-770-9745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: SARA HOLMES
Title or Position: OWNER
Credential:
Phone: 575-770-9745