Provider Demographics
NPI:1245978030
Name:TRUE HEALTH LLC
Entity type:Organization
Organization Name:TRUE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:575-725-5936
Mailing Address - Street 1:213 S MESA ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-4828
Mailing Address - Country:US
Mailing Address - Phone:575-725-5936
Mailing Address - Fax:575-725-5937
Practice Address - Street 1:213 S MESA ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-4828
Practice Address - Country:US
Practice Address - Phone:575-725-5936
Practice Address - Fax:575-725-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty