NPI 1407488182 · live from the CMS NPI Registry
Tom Wulf MD LLC
Family Medicine in Roswell, NM. National Provider Identifier 1407488182, active.
NPI record
| NPI | 1407488182 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 607 W Country Club Rd, Roswell, NM 88201 |
| Practice phone | 575-208-7795 |
| Mailing address | 313 W Country Club Rd Ste 15, Roswell, NM 88201 |
| Enumerated | February 10, 2020 |
| Last updated | May 11, 2020 |
| Authorized official | Thomas Wulf, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based | 251G00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.