Provider Demographics
NPI:1689168403
Name:ROBIN N HERMES, MD, PC
Entity Type:Organization
Organization Name:ROBIN N HERMES, MD, PC
Other - Org Name:BODY LOGIC MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-980-5098
Mailing Address - Street 1:2440 LOUSIANA BLVD. NE
Mailing Address - Street 2:STE 580
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110
Mailing Address - Country:US
Mailing Address - Phone:866-972-1647
Mailing Address - Fax:
Practice Address - Street 1:2440 LOUSIANA BLVD. NE
Practice Address - Street 2:STE 580
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110
Practice Address - Country:US
Practice Address - Phone:866-972-1647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM98-289207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty