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NPI Code Detail

MEDICARE: TAOS COMPREHENSIVE HEALTH CORPORATION

MEDICARE: TAOS COMPREHENSIVE HEALTH CORPORATION
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1962568253
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAOS COMPREHENSIVE HEALTH CORPORATION
Provider Business Mailing Address
First Line : 707 PASEO DE PERALTA
Second Line :
City : SANTA FE
State : NM
Zip : 87501-1922
Country : US
Telephone Number : 505-989-8707
Fax Number : 505-989-3536
Provider Business Practice Location Address
First Line : 707 PASEO DE PERALTA
Second Line :
City : SANTA FE
State : NM
Zip : 87501-1922
Country : US
Telephone Number : 505-577-4543
Fax Number : 505-989-3536
Authorized Official
Title or Position : PRESIDENT
Name : LESA D FRAKER
Credential : MD
Telephone Number : 505-989-8707
Provider Enumeration Date : 12/29/2006
Last Update Date : 05/14/2026

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Directions to “TAOS COMPREHENSIVE HEALTH CORPORATION ” Practice Location

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