NPI Code Details Logo

NPI 1508076530

NPI 1508076530 : HEALTH CARE ASSOCIATES PA : ALBUQUERQUE, NM

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508076530
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEALTH CARE ASSOCIATES PA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/22/2007
-----------------------------------------------------
    Last Update Date     |    12/26/2013
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2709 WYOMING BLVD NE 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87111-4540
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-294-5486
-----------------------------------------------------
    Fax                  |    505-294-3655
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2709 WYOMING BLVD NE 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87111-4540
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-294-5486
-----------------------------------------------------
    Fax                  |    505-294-3655
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     WEN  WU 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    505-294-5486
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171100000X
-----------------------------------------------------
    Taxonomy Name        |    Acupuncturist
-----------------------------------------------------
    License Number       |    001
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    1039
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    171100000X
-----------------------------------------------------
    Taxonomy Name        |    Acupuncturist
-----------------------------------------------------
    License Number       |    061
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.