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Organization
TOM HOLLEY, MD, INC.
Active
Organization
TOM HOLLEY, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R. HOLLEY MD (OWNER, PSYCHIATRIST)
(505) 232-9516
Entity
Organization
Contact information
Practice address
1216 ALCAZAR ST NE, GOLDSMITH, ALBUQUERQUE, NM 87110-7108
(505) 232-9516
(505) 232-9516
Mailing address
1216 ALCAZAR ST NE, GOLDSMITH, ALBUQUERQUE, NM 87110-7108
(505) 232-9516
(505) 232-9516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
77-45
NM
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
77-45
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25478
—
NM
Enumeration date
01/25/2007
Last updated
08/18/2009
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