Cordova, Thomas R

Cordova, Thomas R is an sole proprietor health care provider with primary practice located at 3505 Chelwood Park Ne , Albuquerque NM 87111. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cordova, Thomas R can be contacted via phone (505) 270-8706.

Contact Information

Primary practice address
3505 Chelwood Park Ne Albuquerque NM 87111
Phone: (505) 270-8706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0160571 New Mexico

Profile Details

NPI number 1407199581
LBN Legal business name Cordova, Thomas R
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2013
Last updated Nov 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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