Healthcare Provider Details

I. General information

NPI: 1245103803
Provider Name (Legal Business Name): TAARON LANDRUM DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E MICHIGAN DR STE 300
HOBBS NM
88240-3465
US

IV. Provider business mailing address

2000 N MCKINLEY ST
HOBBS NM
88240-3435
US

V. Phone/Fax

Practice location:
  • Phone: 575-396-0011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-2025-0023
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: