Wofford Medical Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WOFFORD MEDICAL PRACTICE LLC

Doing business as

Portales Quick Care

Practice address

421 S Ave C
Ste D
Portales, NM 88130-6328

Phone

(575) 226-2273

Fax

(575) 226-2378

NPI assigned

Sep 21, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bert W Wofford, MD

Title

Principal

Phone

(575) 226-2273

Specialties & licenses 1

Addresses

Other names 1

• Portales Quick Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1669780904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG 1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053259",
            "telephone_number": "575-532-7000",
            "fax_number": "575-532-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S AVE C",
            "address_2": "STE D",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306328",
            "telephone_number": "575-226-2273",
            "fax_number": "575-226-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOFFORD MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WOFFORD",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "575-226-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portales Quick Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Joyce Wilcox, BS
• Vicky Wilhoit, LMT
• Kenneth Dwayne Wilkerson, M.S., CCC-SLP
• Helen Williams
• Brandon T Wilson
• Laura Woznick
• Lindsay Young, FNP-C
• Ruth A Young, RN
• Victoria L Young, SLP
• Heidi Michelle Zamora

• Family Medicine Physician in Portales, NM
• Providers in Portales, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.