SearchNew Mexico208000000X

Giddel Thom, MD

NPI 1700078375 · on the registry since 2007

Practice

Address
1515 W Fir St
Portales, NM 88130
Phone
(575) 356-6695
Fax
(575) 356-5948
Organisation at this address
La Casa De Buena Salud Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
2080P0207X
2080P0207X
Licence states on file
FL, NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico