Provider Demographics
NPI:1144327321
Name:CHINESE NATURAL THERAPY LC
Entity type:Organization
Organization Name:CHINESE NATURAL THERAPY LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-872-8238
Mailing Address - Street 1:5005 PROSPECT AVE NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4275
Mailing Address - Country:US
Mailing Address - Phone:505-872-8238
Mailing Address - Fax:505-872-9378
Practice Address - Street 1:5005 PROSPECT AVE NE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4275
Practice Address - Country:US
Practice Address - Phone:505-872-8238
Practice Address - Fax:505-872-9378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM452171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM01RD46OtherBCBS PROVIDER ID