Provider Demographics
NPI:1447505516
Name:ACUPUNCTURE & HOLISTIC CARE, LLC
Entity type:Organization
Organization Name:ACUPUNCTURE & HOLISTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIANGHUI
Authorized Official - Middle Name:
Authorized Official - Last Name:PENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-216-9193
Mailing Address - Street 1:5201 RICHMOND AVE,
Mailing Address - Street 2:SUITE M
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7503
Mailing Address - Country:US
Mailing Address - Phone:713-960-7890
Mailing Address - Fax:
Practice Address - Street 1:5201 RICHMOND AVE
Practice Address - Street 2:SUITE M
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-7500
Practice Address - Country:US
Practice Address - Phone:713-960-7890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00487171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17171496OtherDRIVER'S LICENSE