Physicians Health Choice of New Mexico, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

12977 Issued in NM

Legal business name

PHYSICIANS HEALTH CHOICE OF NEW MEXICO, INC.

Practice address

8637 Fredericksburg Rd Ste 400
San Antonio, TX 78240-1285

Phone

(210) 949-4153

NPI assigned

Nov 19, 2009

Organization subpart

Yes

Parent organization

PHC SUBSIDIARY HOLDINGS, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Anita Linda Green

Title

Compliance Officer

Phone

(210) 949-4153

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1740518323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401285",
            "telephone_number": "210-949-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401285",
            "telephone_number": "210-949-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH CHOICE OF NEW MEXICO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHC SUBSIDIARY HOLDINGS, LLC",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-949-4153",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "12977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.