DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK SHOUP GARLAND, M.D.

Active Sole Proprietor

DR. JACK SHOUP GARLAND, M.D. is a Anatomic Pathology healthcare provider located in TAOS, New Mexico. NPI 1538340005 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology · TAOS, NM

Registration Details

NPI Number
1538340005
Provider Type
Individual
Gender
Male
NPI Issued
Nov 26, 2007 (18.571003275575 yrs)
Last Updated
Nov 26, 2007
License
2002-0370 (NM)
Sole Proprietor
Yes

Practice Information

Address
1397 WEIMER RD
TAOS, NM, 875716284
Browse NM providers · Browse ZIP 87571
Phone
5057515884
Fax
5057373398
Primary Specialty
Anatomic Pathology
207ZP0101X

Other Anatomic Pathology Providers in TAOS, NM

Name Credential NPI
PATRICIA NOVECK KONRAD MD 1013901495
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.