Healthcare Provider Details

I. General information

NPI: 1447880661
Provider Name (Legal Business Name): TSAI-MARIE FORD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRESNOW URGENT AND EMERGENCY CARE 6400 PASEO DEL NORTE
ALBUQUERQUE NM
87113
US

IV. Provider business mailing address

PRESNOW URGENT AND EMERGENCY CARE 6400 PASEO DEL NORTE
ALBUQUERQUE NM
87113
US

V. Phone/Fax

Practice location:
  • Phone: 505-596-2100
  • Fax: 505-596-2180
Mailing address:
  • Phone: 505-596-2100
  • Fax: 505-596-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2021-0038
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: