Oak Street Health Physicians Group Of New Mexico Llc

Specialty details in registry · Albuquerque, NM

Call (505) 777-3001 Directions

At a glance

4208 Central Ave Sw Ste G, Albuquerque, NM 87105-1695

NPPES record updated Oct 13, 2025. Public records can lag behind changes at a practice.

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Practice location

4208 Central Ave Sw Ste G
Albuquerque, NM 87105-1695

Professional details: NPI, taxonomy & registry record

NPI1134793151

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP2300X
Enumeration date: May 14, 2021
Record updated: Oct 13, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X

Family Medicine

207Q00000X

Internal Medicine

207R00000X

Specialty details in registry

261QP2300X · Primary

Nurse Practitioner

363L00000X

Family Nurse Practitioner

363LF0000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4208 Central Ave Sw Ste G
Albuquerque, NM 87105-1695

Phone: (505) 777-3001
Fax: (505) 808-4977

Mailing address

PO BOX 740018

ATLANTA, GA 303740018

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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