Tedomer Llc

LBN: Tedomer Llc
Tedomer Llc is an health care organization with primary practice located at 3720 Church Rock Rd , Gallup NM 87301-4572. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Tedomer Llc can be contacted via phone (505) 722-2261, or through Domer, Timothy Nmn via phone (505) 783-4045.

Contact Information

Primary practice address
3720 Church Rock Rd Gallup NM 87301-4572
Phone: (505) 722-2261
Fax: (505) 722-4732
Website:
Map and Directions
Authorized official contact:
Name: Domer, Timothy Nmn Doctor of Medicine (MD)
Phone: (505) 783-4045

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1033394861
LBN Legal business name Tedomer Llc
DBA Doing business as
Authorized official Domer, Timothy Nmn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Jan 3rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers