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

Southwest Urology Specialists LLC

Organization Urology Physician · NPI 1063184794

Southwest Urology Specialists LLC is an Urology Physician in Albuquerque, New Mexico. Registered with an NPI since 2021.

In the registry since
2021
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

4161 Montgomery Blvd NE
Albuquerque, NM 87109-6742
Phone: (607) 743-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1063184794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Gist — Owner/President · (607) 743-3714
NPI enumeratedSeptember 30, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address1380 Rio Rancho Dr Se # 349, Rio Rancho, NM 87124-1006

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