| Henry M Stachura, MD | |
|
516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | |
| (505) 722-1000 | |
| (505) 722-1702 |
| Full Name | Henry M Stachura |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 516 E. Nizhoni Blvd., Gallup, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518991173 | NPI | - | NPPES |
| 00020604 | Medicaid | NM | |
| 769060 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 94-400 (New Mexico) | Primary |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry M Stachura, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 | Henry M Stachura, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Charles J.s. Guimaraes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Red Rock Dr., Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200 | |
Dr. Loretta L Christensen, MD Surgery Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Maria P Gobencion, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Jack B Fralinger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1226 | |
Dr. Chayanin Musikasinthorn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Sophia A Abdulhai, MD Surgery Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Kimberly Marie Collins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Redrock Dr, Gallup, NM 87301 Phone: 505-863-7200 |