Premier Anesthesia Of New Mexico, Llp

LBN: Premier Anesthesia Of New Mexico, Llp
Premier Anesthesia Of New Mexico, Llp is an health care organization with primary practice located at 1720 Wyoming Blvd Ne , Albuquerque NM 87112-3855. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Premier Anesthesia Of New Mexico, Llp can be contacted via phone (505) 292-9200, or through Gordon, Tracy via phone (505) 292-9200.

Contact Information

Primary practice address
1720 Wyoming Blvd Ne Albuquerque NM 87112-3855
Fax:
Website:
Authorized official contact:
Name: Gordon, Tracy Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1548264351
LBN Legal business name Premier Anesthesia Of New Mexico, Llp
DBA Doing business as
Authorized official Gordon, Tracy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Jun 10th, 2010 - about 14 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 1548264351 NPPES
New Mexico Other NM007G66 BLUE CROSS BLUE SHEILD
New Mexico MEDICAID 78986575 BLUE CROSS BLUE SHEILD

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