Provider Demographics
NPI:1508035395
Name:SOUTHWEST THERAPIES LLC
Entity Type:Organization
Organization Name:SOUTHWEST THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-888-6330
Mailing Address - Street 1:PO BOX 7100
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87194-7100
Mailing Address - Country:US
Mailing Address - Phone:505-888-6330
Mailing Address - Fax:505-872-9148
Practice Address - Street 1:3300 PRINCETON DR NE STE S24
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-2049
Practice Address - Country:US
Practice Address - Phone:505-888-6330
Practice Address - Fax:505-872-9148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QL0400XAmbulatory Health Care FacilitiesClinic/CenterLithotripsy