Provider Demographics
NPI:1871969808
Name:ENDPOINT WELLNESS HOLDINGS, INC.
Entity type:Organization
Organization Name:ENDPOINT WELLNESS HOLDINGS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, DO M
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-433-2054
Mailing Address - Street 1:2730 SAN PEDRO DR NE
Mailing Address - Street 2:B2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3334
Mailing Address - Country:US
Mailing Address - Phone:505-433-2054
Mailing Address - Fax:505-214-5659
Practice Address - Street 1:2730 SAN PEDRO DR NE
Practice Address - Street 2:B2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3334
Practice Address - Country:US
Practice Address - Phone:505-433-2054
Practice Address - Fax:505-214-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1161171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty