Organization
VALLEY ABORTION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH-TAM HO CNM (CO-MEDICAL DIRECTOR)
(505) 221-6337
Entity
Organization
Contact information
Practice address
8120 LA MIRADA PL NE, ALBUQUERQUE, NM 87109-1605
(505) 221-6337
Mailing address
PO BOX 25002, ALBUQUERQUE, NM 87125-0002
(505) 221-6337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316254162
—
NM
05
—
1508165754
—
MA
Enumeration date
05/15/2024
Last updated
09/06/2024
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