OrganizationActive
Calyx Dermatology LLC
NPI 1003657198 · MOHS-Micrographic Surgery Physician · Albuquerque, NM
Provider details
- NPI number
- 1003657198
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Catherine Tchanque-Fossuo, Dermatologist/Mohs Surgeon(240) 367-2980
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Practice location
612 Encino Pl Ne
Albuquerque, NM 87102-2602
Phone: (240) 367-2980
Approximate (ZIP-level) locationGet directions
Mailing address
5863 Mafraq Ave Nw
Albuquerque, NM 87114-6071
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.