Organization Name: | QUALITY PEDIATRICS |
NPI Number: | 1043549934 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE L GARCIA (DIRECTOR) |
Mailing Address: | 5419 N Lovington Hwy Complex 2 Suite 11 Hobbs |
State: | NM US |
Postal Code: | 882409100 |
Phone Number: | 5753920120 |
Fax Number: | 5753920122 |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 12/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | MD20050658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |