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NPI 1376731091ActiveOrganization· Clinic/Center· Albuquerque, NM

Clinic/Center in Albuquerque, New Mexico, registered in NPPES in October 2007. The authorized official on file is Brenda Kay Petty, Doctor Of Oriental Medicine.

Overview

NPI1376731091
StatusActive
Entity typeOrganization
NPI issuedOct 9, 2007
Last updated in NPPESOct 9, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X857NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Albuquerque

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