TOM HOLLEY, MD, INC.; NPI #1659427615

Contact Information

TOM HOLLEY, MD, INC.

1216 ALCAZAR ST NE
GOLDSMITH
ALBUQUERQUE, NM 87110-7108

Phone: 505-232-9516
Fax: 505-232-9516
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry
Psychiatry	2084P0800X	26	Physician/Psychiatry

Indicates primary specialty

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NPI Profile & details for TOM HOLLEY, MD, INC.

NPI Number 1659427615

LBN Legal business name TOM HOLLEY, MD, INC.

Authorized official THOMAS HOLLEY - (OWNER, PSYCHIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2007

Last updated 08/18/2009 - About 17 years ago

Identifiers

NM	License #	77-45
NM	Medicaid	25478

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TOM HOLLEY, MD, INC.

Contact Information

Specialty

Child & Adolescent Psychiatry

Psychiatry

NPI Profile & details for TOM HOLLEY, MD, INC.

Reviews for TOM HOLLEY, MD, INC.