Healthcare Provider Details
I. General information
NPI: 1285546903
Provider Name (Legal Business Name): CATRON COUNTY HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42 MAIN STREET
RESERVE NM
87830-0306
US
IV. Provider business mailing address
PO BOX 306
RESERVE NM
87830-0306
US
V. Phone/Fax
- Phone: 732-691-5313
- Fax: 732-736-9413
- Phone: 732-691-5313
- Fax: 732-736-9413
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DR. LAURA
PADHAM
Title or Position: OWNER
Credential: AUD
Phone: 732-691-5313