# TEXAS HEALTH AND SCIENCE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144862475
- **Authorized official:** JUE GONG (CLINIC MANAGER)
- **Authorized official phone:** (504) 919-7353

## Contact information

- **Practice address:** 1707 FORTVIEW RD, AUSTIN, TX 78704-7620
- **Practice address phone:** (512) 912-8484
- **Mailing address:** 4005 MANCHACA RD, AUSTIN, TX 78704-6737
- **Mailing address phone:** (512) 444-8082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 10/08/2019