Thomas Gladson Grace in Albuquerque - Specialist

Thomas Gladson Grace - NPI 1376661371

Thomas Gladson Grace is a Specialist in Albuquerque, New Mexico. Thomas Gladson Grace practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas Gladson Grace is 1376661371. The last update date is 2007-12-10.

Thomas Gladson Grace's current location address is 8301 Spain Rd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058216663 and fax number 5058232683. The mailing address for Thomas Gladson Grace is 8301 Spain Rd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Gladson Grace
Address 8301 Spain Rd Ne, Albuquerque, New Mexico
Phone Number 5058216663
Fax Number 5058232683
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1376661371
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-12-10

Provider Mailing Address Detail

Address 8301 Spain Rd Ne
City Albuquerque
State New Mexico (NM)
Post Code 871093166
Phone Number 5058216663
Fax Number 5058232683

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No NM 77-38
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16071 NM --
NM007588 NM BC/BS OF NM

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FAQs about Thomas Gladson Grace

What is the Thomas Gladson Grace's 1376661371?

The Thomas Gladson Grace's NPI (National Provider Identifier) Number is 1376661371. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Thomas Gladson Grace's physical address?

The Thomas Gladson Grace is physically located at 8301 Spain Rd Ne, in the city of Albuquerque, NM, with the postal code 871093166.

What is the Thomas Gladson Grace's area of specialization and corresponding taxonomy classification?

The Thomas Gladson Grace's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376661371 to Thomas Gladson Grace?

The Centers for Medicare & Medicaid Services originally issued the 1376661371 to Thomas Gladson Grace on 2007-03-27.

When was the Thomas Gladson Grace's information last updated?

The Thomas Gladson Grace's information was last updated on 2007-12-10.

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