The 5th Element Medical Practice Pc

NPI 1225396138 - Family Medicine - 207Q00000X

NPI Details
NPI 1225396138
Enumeration Date 04/27/2012
Last Updated 12/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TRANG M TRANG
Position OWNER
Phone (505) 839-6825
Fax
Practice Location
5300 SEQUOIA RD NW
SUITE 101
ALBUQUERQUE NM, 87120-1283, US
Phone (505) 839-6825
Fax
Business Location
5300 SEQUOIA RD NW
SUITE 101
ALBUQUERQUE NM, 87120-1283, US
Phone (505) 839-6825
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number MD2008-0787
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According to our database, The 5th Element Medical Practice Pc NPI is 1225396138, taxonomy code is 207Q00000X and license number is MD2008-0787, license state is located at . The 5th Element Medical Practice Pc physically located at 5300 Sequoia Rd Nw, Albuquerque NM, 87120-1283. NPI Number 1033115704 has the healthcare provider type.

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1225396138 NPI number is provided on an as is basis without warranty of any kind. 1225396138 is maintained by the National Plan & Provider Enumeration System. The contents of The 5th Element Medical Practice Pc are for informational purposes only.