Healthcare Provider Details

I. General information

NPI: 1205610045
Provider Name (Legal Business Name): ACUHEALTH HUB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7013 4TH ST NW STE D
LOS RANCHOS NM
87107-6639
US

IV. Provider business mailing address

2011 MATTHEW AVE NW APT 7
ALBUQUERQUE NM
87104-2459
US

V. Phone/Fax

Practice location:
  • Phone: 505-361-7413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. TRAVIS WEBB
Title or Position: DOCTOR OF ORIENTAL MEDICINE
Credential:
Phone: 505-361-7413