Provider Demographics
NPI:1568249449
Name:VHMA OF NM LLC
Entity Type:Organization
Organization Name:VHMA OF NM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-642-6940
Mailing Address - Street 1:1580 APPALOOSA DR STE C310
Mailing Address - Street 2:
Mailing Address - City:SUNLAND PARK
Mailing Address - State:NM
Mailing Address - Zip Code:88063-8904
Mailing Address - Country:US
Mailing Address - Phone:575-332-9086
Mailing Address - Fax:575-332-9132
Practice Address - Street 1:1580 APPALOOSA DR STE C310
Practice Address - Street 2:
Practice Address - City:SUNLAND PARK
Practice Address - State:NM
Practice Address - Zip Code:88063-8904
Practice Address - Country:US
Practice Address - Phone:575-332-9086
Practice Address - Fax:575-332-9132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty