Beverly A. Pucka, Md P.C.

LBN: Beverly A. Pucka, Md P.C.
Beverly A. Pucka, Md P.C. is an health care organization with primary practice located at 8120 Constitution Pl Ne Suite 220, Albuquerque NM 87110-7654. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Beverly A. Pucka, Md P.C. can be contacted via phone (505) 842-8741, or through Pucka, Beverly A via phone (505) 842-8741.

Contact Information

Primary practice address
8120 Constitution Pl Ne Suite 220 Albuquerque NM 87110-7654
Phone: (505) 842-8741
Fax: (505) 842-8190
Website:
Map and Directions
Authorized official contact:
Name: Pucka, Beverly A Doctor of Medicine (MD)
Phone: (505) 842-8741

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 86-107 New Mexico

Profile Details

NPI number 1235377268
LBN Legal business name Beverly A. Pucka, Md P.C.
DBA Doing business as
Authorized official Pucka, Beverly A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2009
Last updated Jan 29th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235377268 NPPES
New Mexico MEDICAID 37325

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