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NPI Code Detail

MEDICARE: SILVER L. TABOR

MEDICARE: SILVER L. TABOR
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1588956155
Entity Type Code : Individual
Provider Name (Legal Business Name) : SILVER L. TABOR
Provider Business Mailing Address
First Line : 530 DEMOSS STREET
Second Line :
City : LORDSBURG
State : NM
Zip : 88045-2618
Country : US
Telephone Number : 575-542-8384
Fax Number : 575-542-2388
Provider Business Practice Location Address
First Line : 610 N SILVER ST
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-6779
Country : US
Telephone Number : 575-956-6131
Fax Number : 575-388-3465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2011
Last Update Date : 11/30/2023

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Directions to “ SILVER L. TABOR ” Practice Location

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