Provider Demographics
NPI:1487775722
Name:HPH INC.
Entity type:Organization
Organization Name:HPH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LEZA
Authorized Official - Last Name:CLIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:505-890-0003
Mailing Address - Street 1:10700 CORRALES RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114
Mailing Address - Country:US
Mailing Address - Phone:505-890-0003
Mailing Address - Fax:505-890-3330
Practice Address - Street 1:10700 CORRALES RD
Practice Address - Street 2:SUITE I
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114
Practice Address - Country:US
Practice Address - Phone:505-890-0003
Practice Address - Fax:505-890-3330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2009-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMZ7171Medicaid
NMNMB2142OtherMEDICARE PTAN
NMNMB2142OtherMEDICARE PTAN