DE BACA FAMILY PRACTICE CLINIC

NPI # 

Practice Address:

546 N 10Th Street

Fort Sumner, NM, 88119

Practice Phone:

575-355-2414

Practice Fax:

575-355-7894

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X