Individual
DR. THOMAS ROUSE HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 EUBANK BLVD NE, APT. # 69, ALBUQUERQUE, NM 87111-6123
(510) 459-0180
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC06 3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77-45
NM
2084P0804X
Child & Adolescent Psychiatry Physician
77-45
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25478
—
NM
Enumeration date
07/15/2009
Last updated
08/11/2015
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