Healthcare Provider Details

I. General information

NPI: 1104284629
Provider Name (Legal Business Name): H AND W ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2016
Last Update Date: 01/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 CARLISLE BLVD NE STE 103
ALBUQUERQUE NM
87110-1678
US

IV. Provider business mailing address

3150 CARLISLE BLVD NE STE 103
ALBUQUERQUE NM
87110-1678
US

V. Phone/Fax

Practice location:
  • Phone: 505-239-4290
  • Fax:
Mailing address:
  • Phone: 505-239-4290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number251B00000X
License Number StateNM

VIII. Authorized Official

Name: MICHELE R HRENAK
Title or Position: OWNER/CASE MANAGER
Credential:
Phone: 505-239-4290