MEDICARE: TANSY M. BRIGGS, DOM, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	712	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1700963972	OTHER	NM	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1437347382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TANSY M. BRIGGS, DOM, L.L.C.

Provider Business Mailing Address
First Line	:	7120 4TH ST NW STE A
Second Line	:
City	:	LOS RANCHOS DE ALBUQUERQUE
State	:	NM
Zip	:	87107-6642
Country	:	US
Telephone Number	:	505-899-7095
Fax Number	:	505-899-7095

Provider Business Practice Location Address
First Line	:	7120 4TH ST NW STE A
Second Line	:
City	:	LOS RANCHOS DE ALBUQUERQUE
State	:	NM
Zip	:	87107-6642
Country	:	US
Telephone Number	:	505-899-7095
Fax Number	:	505-899-7095

Authorized Official
Title or Position	:	SINGLE MEMBER
Name	:	DR. TANSY M. BRIGGS
Credential	:	D.O.M.
Telephone Number	:	505-899-7095

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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Directions to “TANSY M. BRIGGS, DOM, L.L.C. ” Practice Location

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