BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...
BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...
BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...
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Primary Care <strong>Provider</strong>s<br />
Pediatrics<br />
CORONA GONZALEZ, GONZALO<br />
MD<br />
<strong>Provider</strong> ID: NM005U33<br />
1521 W 13TH ST , 88101<br />
575-769-0888<br />
Fax: 575-763-9154<br />
Languages: Spanish<br />
LA FATA, SALVATORE MD<br />
<strong>Provider</strong> ID: NM001570<br />
2020 SHEFFIELD DR , 88101<br />
575-762-4507<br />
Fax: 575-762-7220<br />
LUU, THIEN MD<br />
<strong>Provider</strong> ID: NM001660<br />
2000 W 21ST ST STE E2, 88101<br />
575-762-3726<br />
Fax: 575-762-3727<br />
MILLA, MARIA MD<br />
<strong>Provider</strong> ID: NM007Z70<br />
2100 DR MARTIN LUTHER KING JR ,<br />
88101<br />
575-769-2141<br />
Fax: 575-769-7147<br />
MILLA, MARIA MD<br />
<strong>Provider</strong> ID: NM007Z69<br />
2200 W 21ST ST , 88101<br />
575-769-7295<br />
Fax: 575-769-7596<br />
MORAN PAYAMPS, M MD<br />
<strong>Provider</strong> ID: NM003U60<br />
1521 W 13TH ST , 88101<br />
575-769-0888<br />
Fax: 575-763-9154<br />
Languages: Spanish<br />
TRAN, HIEN MD<br />
<strong>Provider</strong> ID: NM004Y33<br />
912 W 21ST ST , 88101<br />
575-769-2141<br />
Fax: 575-769-7337<br />
VICKERS, DAVID MD<br />
<strong>Provider</strong> ID: NM024200<br />
2200 W 21ST ST , 88101<br />
575-769-7577<br />
Fax: 575-769-7595<br />
WINTERS, KATHRYN MD<br />
<strong>Provider</strong> ID: NM022599<br />
912 W 21ST ST , 88101<br />
575-762-4455<br />
Languages: Spanish<br />
Radiation Pr<strong>of</strong>essional<br />
Service<br />
RUFUS J MARK MD PA,<br />
<strong>Provider</strong> ID: NM007M14<br />
2219 DILLION ST , 88101<br />
575-624-8738<br />
Fax: 575-624-8758<br />
THOMAS NEUMANN MD PA,<br />
<strong>Provider</strong> ID: NM007F89<br />
2219 DILLION ST , 88101<br />
575-624-8738<br />
Fax: 575-624-8758<br />
Radiology<br />
IMAGING CENTER OF CLOVIS<br />
LLC,<br />
<strong>Provider</strong> ID: NM007U93<br />
2105 W 21ST ST , 88101<br />
575-935-9729<br />
Fax: 575-935-9731<br />
PAUL ANDERSON MD PA,<br />
<strong>Provider</strong> ID: NM007M15<br />
2219 DILLION ST , 88101<br />
575-769-7365<br />
Fax: 575-624-8758<br />
Columbus<br />
Luna County<br />
Family Practice<br />
APODACA, KRYSTLE CNP<br />
<strong>Provider</strong> ID: NM006V86<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
CHAVEZ, DORIS MD<br />
<strong>Provider</strong> ID: NM001BF0<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
DEROY, JENNIFER CNP<br />
<strong>Provider</strong> ID: NM006C10<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
GARCIA, GLORIA CNP<br />
<strong>Provider</strong> ID: NM006L83<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
HARRIS, LEON MD<br />
<strong>Provider</strong> ID: NM005U13<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
MACEDO POTRZEBOWSKI, V CNP<br />
<strong>Provider</strong> ID: NM006T85<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Portuguese<br />
MACIEL, GABRIEL CNP<br />
<strong>Provider</strong> ID: NM006U83<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
MADER, PENNY CNP<br />
<strong>Provider</strong> ID: NM007AK7<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
MARTINEZ, ENRIQUE MD<br />
<strong>Provider</strong> ID: NM001726<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
MILLER, CLYDE MD<br />
<strong>Provider</strong> ID: NM001A56<br />
626 TAFT , 88029<br />
575-531-2165<br />
Languages: Spanish<br />
NEELEY, RAQUEL MD<br />
<strong>Provider</strong> ID: NM009Y59<br />
626 TAFT , 88029<br />
575-531-2165<br />
Languages: Spanish<br />
OCASIO, ANDREA CNP<br />
<strong>Provider</strong> ID: NM007AI0<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
STOLARCZYK, LISA MD<br />
<strong>Provider</strong> ID: NM005M84<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
VEDAMANIKAM, CHANDRAN MD<br />
<strong>Provider</strong> ID: NM001CZ9<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Federally Qualified Health<br />
Clinic (FQHC)<br />
BEN ARCHER HEALTH CTR,<br />
<strong>Provider</strong> ID: NM005149<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
Obstetrics-Gynecology<br />
SCHMIDT, DEBORAH CNP CNM<br />
<strong>Provider</strong> ID: NM006C23<br />
626 TAFT , 88029<br />
575-531-2165<br />
Fax: 575-531-2172<br />
Languages: Spanish<br />
Corona<br />
Lincoln County<br />
Family Practice<br />
CARDEN, SHIMER CNP<br />
<strong>Provider</strong> ID: NM006F71<br />
471 MAIN ST , 88318<br />
575-849-1561<br />
Fax: 575-849-1561<br />
Languages: Spanish<br />
MARTINEZ, MARY MD<br />
<strong>Provider</strong> ID: NM012141<br />
471 MAIN ST , 88318<br />
575-849-1561<br />
Fax: 575-849-1561<br />
Internal Medicine<br />
KUMAR, KRISHNA MD<br />
<strong>Provider</strong> ID: NM005S24<br />
471 MAIN ST PO BOX 37, 88318<br />
575-849-1561<br />
Fax: 575-849-1561<br />
Corrales<br />
Sandoval County<br />
Audiology<br />
WENDY GALLEGOS MA LLC,<br />
<strong>Provider</strong> ID: NM00EE45<br />
420 ASHLEY LN , 87048<br />
505-898-2474<br />
Fax: 505-899-8172<br />
Family Practice<br />
THAL, ALYSON MD<br />
<strong>Provider</strong> ID: NM029531<br />
3841 CORRALES RD , 87048<br />
505-792-3065<br />
Fax: 505-792-4004<br />
Counselor<br />
Sandoval County<br />
Family Practice<br />
KOZOLL, RICHARD MD<br />
<strong>Provider</strong> ID: NM001C91<br />
9837 STATE HWY 44 , 87018<br />
575-568-4328<br />
Federally Qualified Health<br />
Clinic (FQHC)<br />
PRESBYTERIAN MEDICAL<br />
SERVICE,<br />
<strong>Provider</strong> ID: NM007E23<br />
9837 STATE HWY 550 , 87018<br />
575-568-4328<br />
Coyote<br />
Rio Arriba County<br />
Family Practice<br />
KAZMIERSKI, SUSAN CNP<br />
<strong>Provider</strong> ID: NM006B14<br />
ST RD 96 BLDG 3396, 87012<br />
575-638-5487<br />
Fax: 575-638-9123<br />
Languages: Spanish<br />
Cuba<br />
Sandoval County<br />
Family Practice<br />
CLAPP-HUMBERT, KAREN CNP<br />
<strong>Provider</strong> ID: NM006P67<br />
2500 STATE HWY 197 , 87013<br />
505-731-2284<br />
Fax: 505-731-2381<br />
Languages: Spanish<br />
CLAPP-HUMBERT, KAREN CNP<br />
<strong>Provider</strong> ID: NM006P67<br />
6349 STATE HWY 550 , 87013<br />
575-289-3291<br />
Fax: 575-289-3648<br />
Languages: Spanish<br />
CLAPP-HUMBERT, KAREN CNP<br />
<strong>Provider</strong> ID: NM006P67<br />
OJO ENCINO CHAPTER RD STE 2,<br />
87013<br />
505-731-2268<br />
Fax: 505-731-2379<br />
Languages: Spanish<br />
GARCIA, TIMOTHY MD<br />
<strong>Provider</strong> ID: NM023240<br />
2 OJO ENCINO CHAPTER RD , 87013<br />
505-731-2268<br />
Fax: 505-731-2379<br />
GARCIA, TIMOTHY MD<br />
<strong>Provider</strong> ID: NM023240<br />
2500 STATE HWY 197 , 87013<br />
505-731-2284<br />
Fax: 505-731-2381<br />
February 2012 21<br />
Cuba<br />
Primary Care <strong>Provider</strong>s