# LOUISA G. CHAVEZ, M.D. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659669158
- **Authorized official:** LOUISA GAYLE CHAVEZ MD (OWNER)
- **Authorized official phone:** (505) 880-1234

## Contact information

- **Practice address:** 4705 MONTGOMERY BLVD NE, SUITE 105, ALBUQUERQUE, NM 87109-1226
- **Practice address phone:** (505) 880-1234
- **Practice address fax:** (505) 727-7667
- **Mailing address:** 4705 MONTGOMERY BLVD NE, SUITE 105, ALBUQUERQUE, NM 87109-1226
- **Mailing address phone:** (505) 880-1234
- **Mailing address fax:** (505) 727-7667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 91-18 | NM | Yes |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 07/18/2011
