Tom Wulf Md Llc

LBN: Tom Wulf Md Llc
Tom Wulf Md Llc is an health care organization with primary practice located at 607 W Country Club Rd , Roswell NM 88201-5211. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / Hospice Care, Community Based. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Tom Wulf Md Llc can be contacted via phone (575) 208-7795, or through Wulf, Thomas via phone (575) 208-7795.

Contact Information

Primary practice address
607 W Country Club Rd Roswell NM 88201-5211
Phone: (575) 208-7795
Fax: (575) 208-7785
Website:
Map and Directions
Authorized official contact:
Name: Wulf, Thomas Doctor of Medicine (MD)
Phone: (575) 208-7795

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1407488182
LBN Legal business name Tom Wulf Md Llc
DBA Doing business as
Authorized official Wulf, Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2020
Last updated May 11th, 2020 - about 5 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 1407488182 NPPES
New Mexico MEDICAID 42637716

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