Provider Demographics
NPI:1447814371
Name:AUSTIN CHINESE ACUPUNCTURE & HERB CLINIC PLLC
Entity type:Organization
Organization Name:AUSTIN CHINESE ACUPUNCTURE & HERB CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MU FAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-318-6229
Mailing Address - Street 1:1508 DESSAU RIDGE LN STE 404
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-2192
Mailing Address - Country:US
Mailing Address - Phone:512-318-6229
Mailing Address - Fax:
Practice Address - Street 1:1508 DESSAU RIDGE LN STE 404
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-2192
Practice Address - Country:US
Practice Address - Phone:512-318-6229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty