Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD2021-0659 | NM |
N | 207P00000X | Emergency Physician | MD466245 | PA |
Y | 2086S0102X | Surgical Critical Care | MD2021-0659 | NM |
N | 2086S0127X | Trauma Surgeon | MD2021-0659 | NM |
NPI | 1225487929 |
---|---|
Provider Name | Ally M Hynes |
First Address | Albuquerque, NM 87106-2719 |
Second Address | Albuquerque, NM 87131-4206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2016 |
Last Update Date | 25/08/2021 |