Turquoise Trail Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TURQUOISE TRAIL PRIMARY CARE LLC

Practice address

3825 Eubank Blvd NE Ste C
Albuquerque, NM 87111-3559

Phone

(505) 702-1117

Fax

(505) 433-3299

NPI assigned

Sep 1, 2017

Last updated

Jul 21, 2022By 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

Mrs. Elizabeth Renee Dunagan, MA

Title

Coo

Phone

(505) 702-1117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902324692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113559",
            "telephone_number": "505-702-1117",
            "fax_number": "505-433-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113559",
            "telephone_number": "505-702-1117",
            "fax_number": "505-433-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURQUOISE TRAIL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUNAGAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "505-702-1117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turquoise Harbor Family Counseling
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• Turquoise Skies Therapy
• Turquoise Trail Physical Therapy
• Turquoise Trail Physical Therapy & Rehabilitation
• Turquoise Wings Counseling, LLC
• Jennifer Turrietta
• Devante Malcolm Tussey
• Sudhir Kumar Tutiki, MD
• Kayla Aah Tuton

• Primary Care Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.