Tom Holley, Md, Inc.
LBN: Tom Holley, Md, Inc.
Tom Holley, Md, Inc. is an health care organization with primary practice located at 1216 Alcazar St Ne Goldsmith, Albuquerque NM 87110-7108. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty.
Tom Holley, Md, Inc. can be contacted via phone (505) 232-9516, or through Holley, Thomas R. via phone (505) 232-9516.
Contact Information
Primary practice address
1216 Alcazar St Ne Goldsmith
Albuquerque NM 87110-7108
Phone: (505) 232-9516
Fax: (505) 232-9516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 77-45 | New Mexico |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 77-45 | New Mexico |
Profile Details
| NPI number | 1659427615 |
|---|---|
| LBN Legal business name | Tom Holley, Md, Inc. |
| DBA Doing business as | |
| Authorized official | Holley, Thomas R. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Aug 18th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659427615 | NPPES |
| New Mexico | MEDICAID | 25478 |
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