Healthcare Provider Details

I. General information

NPI: 1932834538
Provider Name (Legal Business Name): HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - TCS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5419 N LOVINGTON HWY
HOBBS NM
88240-9131
US

IV. Provider business mailing address

120 BRENTWOOD COMMONS WAY STE 510
BRENTWOOD TN
37027-2028
US

V. Phone/Fax

Practice location:
  • Phone: 575-492-5000
  • Fax: 615-290-5290
Mailing address:
  • Phone: 615-371-5778
  • Fax: 615-290-5290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MELISSA HARLAN
Title or Position: DIRECTOR OF PROVIDER ENROLLMENT
Credential:
Phone: 615-577-6340