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Contact Information

THOMAS R HOLLEY, MD
5801 EUBANK BLVD NE
APT. # 69
ALBUQUERQUE, NM87111-6123
 Phone: 510-459-0180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for THOMAS R HOLLEY · (Male)

NPI Number 1043440704
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2009
Last updated 08/11/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 77-45
  • NM Medicaid 25478
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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