Provider Demographics
NPI:1235383670
Name:BARBARA S VAN EECKHOUT,M.D.,P.C.
Entity Type:Organization
Organization Name:BARBARA S VAN EECKHOUT,M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:VAN EECKHOUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-982-4200
Mailing Address - Street 1:531 HARKLE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4753
Mailing Address - Country:US
Mailing Address - Phone:505-982-4200
Mailing Address - Fax:505-982-4649
Practice Address - Street 1:531 HARKLE RD
Practice Address - Street 2:SUITE D
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4753
Practice Address - Country:US
Practice Address - Phone:505-982-4200
Practice Address - Fax:505-982-4649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty