Provider Demographics
NPI:1487712758
Name:WU, HUA C
Entity type:Individual
Prefix:
First Name:HUA
Middle Name:C
Last Name:WU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DOM
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
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM452171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM01RD46OtherBCBS