Red River Primary Care

LBN: Angel Fire Primary Care
Red River Primary Care is an health care organization with primary practice located at 200 A Pioneer Road , Red River NM 87558-0000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Angel Fire Primary Care can be contacted via phone (575) 754-1773, or through Fraker, Lesa D via phone (505) 989-8707.

Contact Information

Primary practice address
200 A Pioneer Road Red River NM 87558-0000
Phone: (575) 754-1773
Fax: (505) 989-3536
Website:
Map and Directions
Authorized official contact:
Name: Fraker, Lesa D Doctor of Medicine (MD)
Phone: (505) 989-8707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1053672485
LBN Legal business name Angel Fire Primary Care
DBA Doing business as Red River Primary Care
Authorized official Fraker, Lesa D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2012
Last updated Jun 1st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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