Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New Mexico Emergency Physicians Group Management LLC

Organization Emergency Medicine Physician · NPI 1386322071

New Mexico Emergency Physicians Group Management LLC is an Emergency Medicine Physician in Gallup, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone: (505) 863-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1386322071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Douglass — Ceo · (361) 729-0646
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address4932 Sunbeam Rd, Jacksonville, FL 32257-6128

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