MEDICARE: HEALTH CARE ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	001	NM
2	111N00000X	Chiropractor	1039	NM
3	171100000X	Acupuncturist	061	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NM00R462	OTHER	NM	BCBSNM

General Provider Information

NPI Number	:	1508076530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE ASSOCIATES PA

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

Provider Business Practice Location Address
First Line	:	2709 WYOMING BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-4540
Country	:	US
Telephone Number	:	505-294-5486
Fax Number	:	505-294-3655

Authorized Official
Title or Position	:	OWNER
Name	:	WEN WU
Credential	:
Telephone Number	:	505-294-5486

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	12/26/2013

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Directions to “HEALTH CARE ASSOCIATES PA ” Practice Location

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