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

Dr. Thomas W Wulf, MD

Individual provider Family Medicine Physician · NPI 1467405779

Dr. Thomas W Wulf, MD is a Family Practice in Roswell, New Mexico. Qualified in 2003, 23 years ago. Practices with Lake Granbury Hospital-Based Professional Services, a 72-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
23
Licensed in
NM
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

607 W Country Club Rd
Roswell, NM 88201-5211
Phone: (575) 208-7795
Fax: (575) 208-7785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD2005-0529 (NM)
Hospice and Palliative Medicine (Anesthesiology) Physician Taxonomy 207LH0002X · Licence MD2005-0529 (NM)

Record details

NPI number1467405779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020
Mailing address607 W Country Club Rd, Roswell, NM 88201-5211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Lake Granbury Hospital-Based Professional Services — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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