| Tom Holley, Md, Inc. | |
|
1216 Alcazar St Ne Goldsmith Albuquerque NM 87110-7108 | |
| (505) 232-9516 | |
| (505) 232-9516 |
| Full Name | Tom Holley, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1216 Alcazar St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Thomas R. Holley (OWNER, PSYCHIATRIST) |
| Authorized Official Contact | 5052329516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Holley, Md, Inc. 1216 Alcazar St Ne Goldsmith Albuquerque NM 87110-7108 Ph: (505) 232-9516 | Tom Holley, Md, Inc. 1216 Alcazar St Ne Goldsmith Albuquerque NM 87110-7108 Ph: (505) 232-9516 |
| NPI Number | 1659427615 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659427615 | NPI | - | NPPES |
| 25478 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 77-45 (New Mexico) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 77-45 (New Mexico) | Primary |
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