Provider Demographics
NPI:1508883232
Name:TENGCO, WILHELMINA FRANCISCO (MD)
Entity Type:Individual
Prefix:MS
First Name:WILHELMINA
Middle Name:FRANCISCO
Last Name:TENGCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6747 ACADEMY RD NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3374
Mailing Address - Country:US
Mailing Address - Phone:505-880-1120
Mailing Address - Fax:505-881-6955
Practice Address - Street 1:6747 ACADEMY RD NE
Practice Address - Street 2:STE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-880-1120
Practice Address - Fax:505-881-6955
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM833192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM83319Medicare ID - Type Unspecified