DR. PATRIC YVES NASSAUX


Address: 2050a Second Street Se, Kirtland Afb, NM 87111-5522
Phone: 5058531611

DR. PATRIC YVES NASSAUX (NPI# 1043380496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043380496
Entity Type Individual
Full Name DR. PATRIC YVES NASSAUX
Credential M.D.
Practice Address 2050a Second Street Se
Kirtland Afb
NM 87111-5522
Mailing Address 4501 Morris St Ne
Apt. 178
Albuquerque
NM 87111-3790
Practice Telephone 5058531611
Mailing Telephone 5053329748
Enumeration Date 2006-11-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
H8277 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX LICENSE H8277 01

Office Location

Street Address 2050A SECOND STREET SE,
City KIRTLAND AFB
State NM
Zip Code 87111-5522

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417438110 Dehlen LLC Counselor 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 2018-08-22
1003313008 Jessika Junick Nurse Practitioner 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 2018-04-07
1881113454 Hayley Aragon-bell Day Training/Habilitation Specialist 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 2017-09-14
1750803326 Sarah Mckenzie Ochoa Day Training/Habilitation Specialist 3916 Garcia St Ne, Albuquerque, NM 87111 2017-07-14
1285179549 Family Dental Health Care Dentist 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 2016-12-22
1871036202 Shobha Jagannath Nurse Practitioner 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 2016-12-03
1508319310 Mariana Boitano Licensed Practical Nurse 5400 Gibson Blvd., Albuquerque, NM 87111 2016-07-28
1184011082 Adam Halpern Specialist/Technologist 4204 Parsifal St, Albuquerque, NM 87111 2015-04-20
1083015770 Cvs Pharmacy Public Health or Welfare 5516 Camino Arbustos Ne, Albuquerque, NM 87111 2014-09-12
1508276973 Stephanie Gonzales Physician Assistant 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 2014-05-06
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851931174 Kristine Yvette Uy Family Medicine 10820 Comanche Rd Ne Ste C, Albuquerque, NM 87111-3983 2020-01-14
1417444977 Marybeth Hampton Family Medicine 5850 Eubank Blvd Ne Ste B32, Albuquerque, NM 87111-6127 2018-04-19
1477057164 Aimee Zagon Family Medicine 4311 Highway 14, Santa Fe, NM 87508-1530 2018-03-19
1144525999 Mai Ting, Md, Inc. Family Medicine 1037 W Don Diego Ave, Santa Fe, NM 87505-1683 2011-01-25
1760502116 Esteban Pena Ayala Family Medicine 9300 Allegiance St Nw, Albuquerque, NM 87114-4588 2007-03-30
1821188939 Aref Kabbara Family Medicine 810 W Apache St, Farmington, NM 87401-5501 2006-10-13
1386739217 Christopher C Merchant Family Medicine 9201 Montgomery Blvd Ne Ste 301, Albuquerque, NM 87111-2467 2006-10-04
1053355735 Joseph Agage Ouma Family Medicine 377th Mdg, Kirtland Afb, 2050 A Second St, Se, Albuquerque, NM 87117 2006-06-15
1497708754 Raymond F. Ortiz Family Medicine 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 2006-05-18
1871584730 New Mexico Clinical Research & Osteoporosis Center, Inc Family Medicine 300 Oak St Ne, Albuquerque, NM 87106-4725 2005-10-31
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Competitor

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City KIRTLAND AFB
Zip Code 87111

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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