Healthcare Provider Details

I. General information

NPI: 1194779322
Provider Name (Legal Business Name): HOUSE CALLS OF NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 OSUNA RD NE
ALBUQUERQUE NM
87113-1002
US

IV. Provider business mailing address

6303 COWBOYS WAY STE 600
FRISCO TX
75034-0329
US

V. Phone/Fax

Practice location:
  • Phone: 505-898-2468
  • Fax: 505-944-0094
Mailing address:
  • Phone: 469-535-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. HEATHER DIXON
Title or Position: PRESIDENT & COO
Credential:
Phone: 469-535-8200