Provider Demographics
NPI:1083146641
Name:NEURO SPRING
Entity Type:Organization
Organization Name:NEURO SPRING
Other - Org Name:NEW MEXICO HEALING RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:RUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-795-8877
Mailing Address - Street 1:8501 CANDELARIA RD NE
Mailing Address - Street 2:D2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1034
Mailing Address - Country:US
Mailing Address - Phone:505-795-8877
Mailing Address - Fax:
Practice Address - Street 1:8501 CANDELARIA RD NE
Practice Address - Street 2:D2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1034
Practice Address - Country:US
Practice Address - Phone:505-795-8877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM787171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty