# APP OF NEW MEXICO HM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** APP OF NEW MEXICO HM PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124787247
- **Legal business name:** APP OF NEW MEXICO HM PLLC
- **Authorized official:** JAMES GRIMES (CFO)
- **Authorized official phone:** (855) 246-8607

## Contact information

- **Practice address:** 405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
- **Practice address phone:** (575) 622-8170
- **Practice address fax:** (629) 216-0568
- **Mailing address:** 5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
- **Mailing address phone:** (855) 246-8607
- **Mailing address fax:** (629) 216-0568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/16/2021
- **Last updated:** 01/27/2023