| Molina Healthcare Of New Mexico | |
|
400 Tijeras Ave Nw Albuquerque NM 87102-3234 | |
| (888) 562-5441 | |
| Not Available |
| Full Name | Molina Healthcare Of New Mexico |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Tijeras Ave Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Daniel Sorrells (PLAN PRESIDENT-MHNM) |
| Authorized Official Contact | 8885625442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Healthcare Of New Mexico 200 Oceangate Ste 100 Long Beach CA 90802-4317 Ph: (888) 562-5442 | Molina Healthcare Of New Mexico 400 Tijeras Ave Nw Albuquerque NM 87102-3234 Ph: (888) 562-5441 |
| NPI Number | 1649782962 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649782962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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