IndividualActive
Jason Mudd, MD
NPI 1881879005 · Otolaryngology Physician · Albuquerque, NM
Provider details
- NPI number
- 1881879005
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2011-0142 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1020 Tijeras Ave Ne Ste 22
Albuquerque, NM 87106-4749
Phone: (505) 848-3124
Approximate (ZIP-level) locationGet directions
Mailing address
1020 Tijeras Ave Ne Ste 22
Albuquerque, NM 87106-4749
Additional practice locations (1)
- 4502 Medical DrSan Antonio, TX 78229-4402Phone: (210) 358-2015
Registry dates
- Enumerated
- 2008-01-07
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.