NPI Code Details Logo

NPI 1871408864

NPI 1871408864 : NEXGEN HEALTH CENTER LLC : ALBUQUERQUE, NM

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1871408864
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NEXGEN HEALTH CENTER LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/15/2026
-----------------------------------------------------
    Last Update Date     |    08/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3939 SAN PEDRO DR NE STE C8-G 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87110-8900
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-659-4050
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3939 SAN PEDRO DR NE STE C8-G 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87110-8900
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-659-4050
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CO-OWNER
-----------------------------------------------------
    Name                 |    MRS. SAMANTHA O MASON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    505-306-7363
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    172P00000X
-----------------------------------------------------
    Taxonomy Name        |    Naprapath
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.