| Comprehensive Gastrostomy Tube Care | |
|
8100 Wyoming Blvd Ne Ste M4-701 Albuquerque NM 87113-1946 | |
| (505) 401-0760 | |
| Not Available |
| Full Name | Comprehensive Gastrostomy Tube Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, New Mexico |
| Authorized Official Name and Position | Deborah Garcia (OWNER) |
| Authorized Official Contact | 5054010761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Gastrostomy Tube Care 8100 Wyoming Blvd Ne Ste M4-701 Albuquerque NM 87113-1946 Ph: () - | Comprehensive Gastrostomy Tube Care 8100 Wyoming Blvd Ne Ste M4-701 Albuquerque NM 87113-1946 Ph: (505) 401-0760 |
| NPI Number | 1063027696 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 12/04/2020 |
| Medicare PECOS PAC ID | 4688086754 |
|---|---|
| Medicare Enrollment ID | O20201214002250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063027696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Deborah J Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568538759 PECOS PAC ID: 0244333177 Enrollment ID: I20070314000496 |
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