| Burbanomendoza, Llc | |
|
3900 Juan Tabo Blvd Ne Suite 4 Albuquerque NM 87111-3984 | |
| (505) 298-1010 | |
| (505) 298-3939 |
| Full Name | Burbanomendoza, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3900 Juan Tabo Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Alicia Burbano (MEMBER) |
| Authorized Official Contact | 4094544466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burbanomendoza, Llc 3900 Juan Tabo Blvd Ne Suite 4 Albuquerque NM 87111-3984 Ph: (505) 298-1010 | Burbanomendoza, Llc 3900 Juan Tabo Blvd Ne Suite 4 Albuquerque NM 87111-3984 Ph: (505) 298-1010 |
| NPI Number | 1629524301 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629524301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD2013-0964 (New Mexico) | Primary |
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