Provider Demographics
NPI:1154539732
Name:LA PAZ FAMILY CARE PLLC
Entity type:Organization
Organization Name:LA PAZ FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELMA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:520-884-4771
Mailing Address - Street 1:4945 S JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85757-9449
Mailing Address - Country:US
Mailing Address - Phone:520-405-4104
Mailing Address - Fax:520-884-4874
Practice Address - Street 1:1701 W SAINT MARYS RD
Practice Address - Street 2:STE 125
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2621
Practice Address - Country:US
Practice Address - Phone:520-884-4771
Practice Address - Fax:520-884-4874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN026569207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZS71144Medicare UPIN