| Organization Name: | TAOS PROFESSIONAL SERVICES, LLC |
| NPI Number: | 1235597964 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILL PATTEN (CEO) |
| Mailing Address: | 1329 Gusdorf Rd Taos |
| State: | NM US |
| Postal Code: | 875716282 |
| Phone Number: | 5757373415 |
| Fax Number: | 5757373416 |
| NPI Enumeration Date: | 02/09/2016 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |