| Denovo Clinical Specialists, P.c. | |
|
1245 Country Club Rd Ste 200 Santa Teresa NM 88008-9743 | |
| (575) 332-4633 | |
| (575) 332-4633 |
| Full Name | Denovo Clinical Specialists, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1245 Country Club Rd Ste 200, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Lorena Carrillo Henderson (NURSE PRACTITIONER) |
| Authorized Official Contact | 9567391796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denovo Clinical Specialists, P.c. 1245 Country Club Rd Ste 200 Santa Teresa NM 88008-9743 Ph: (575) 332-4633 | Denovo Clinical Specialists, P.c. 1245 Country Club Rd Ste 200 Santa Teresa NM 88008-9743 Ph: (575) 332-4633 |
| NPI Number | 1700240991 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700240991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CNP-02601 (New Mexico) | Primary |
Mayedel A. San Jose Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Country Club Rd Ste 200, Santa Teresa, NM 88008 Phone: 575-332-4633 Fax: 877-209-8941 | |
La Clinica De Familia Santa Teresa School Base Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Airport Rd, Santa Teresa, NM 88008 Phone: 575-874-9338 Fax: 575-874-9338 | |
Santa Teresa Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 | |
Santa Teresa Occmed Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 505-589-5005 | |
Total Therapy Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Country Club Rd Ste C, Santa Teresa, NM 88008 Phone: 575-589-0303 Fax: 575-589-4080 | |
Doctors Of Santa Teresa Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5290 Mcnutt Road, Santa Teresa, NM 88008 Phone: 575-589-1144 Fax: 575-589-2008 | |
Santa Teresa Medical Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 |