Provider Demographics
NPI:1053077990
Name:AXCES HEALTH LLC
Entity Type:Organization
Organization Name:AXCES HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-207-8078
Mailing Address - Street 1:531 HARKLE RD STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4753
Mailing Address - Country:US
Mailing Address - Phone:505-207-8078
Mailing Address - Fax:505-207-8082
Practice Address - Street 1:531 HARKLE RD STE B
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4753
Practice Address - Country:US
Practice Address - Phone:505-207-8078
Practice Address - Fax:505-207-8082
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AXCES RESEARCH GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-15
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty