Integrated Healthcare Of New Mexico | |
7632 William Moyers Ave Ne Albuquerque NM 87122-2765 | |
(505) 554-1716 | |
(505) 792-5222 |
Full Name | Integrated Healthcare Of New Mexico |
---|---|
Speciality | Psychologist - Prescribing (medical) |
Location | 7632 William Moyers Ave Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Stephen L Cheshire (CEO) |
Authorized Official Contact | 5055541716 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrated Healthcare Of New Mexico 7632 William Moyers Ave Ne Albuquerque NM 87122-2765 Ph: (505) 554-1716 | Integrated Healthcare Of New Mexico 7632 William Moyers Ave Ne Albuquerque NM 87122-2765 Ph: (505) 554-1716 |
NPI Number | 1003218553 |
---|---|
Provider Enumeration Date | 09/16/2014 |
Last Update Date | 09/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003218553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | 1251 (New Mexico) | Primary |
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