OrganizationJames R Tryon M.D., PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4105 Montgomery Blvd NE, Albuquerque, NM 87109-1102(505) 737-9411PECOS EnrollmentBased on the most recent information from CMS, provider James R Tryon M.D., Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1821270877Provider TypeOrganizationFull NameJames R Tryon M.D., PcSubpartNoEnumeration Date12/2/2007Last Updated2/20/2024Contact InformationPractice LocationPractice Address4105 Montgomery Blvd NE, Albuquerque, NM 87109-1102Phone(505) 737-9411Fax(505) 884-6845Mailing LocationMailing Address4105 Montgomery Blvd NE, Albuquerque, NM 87109-1102Phone(505) 737-9411Fax(505) 884-6845Authorized OfficialNameRodriguez, Edmee (Dr./Owner)Phone(505) 302-3048Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID35025247DescriptionMedicaidIssuerUnlistedNew Mexico