Organization
PHYSICIANS HEALTH CHOICE OF NEW MEXICO, INC.
Active
Parent organization
PHC SUBSIDIARY HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHC SUBSIDIARY HOLDINGS, LLC
Authorized official
MS. ANITA LINDA GREEN (COMPLIANCE OFFICER)
(210) 949-4153
Entity
Organization
Contact information
Practice address
8637 FREDERICKSBURG RD STE 400, SAN ANTONIO, TX 78240-1285
(210) 949-4153
Mailing address
8637 FREDERICKSBURG RD STE 400, SAN ANTONIO, TX 78240-1285
(210) 949-4153
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
12977
NM
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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