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Organization
TAO BLOSSOM PLLC
Active
Organization
TAO BLOSSOM PLLC
Active
Other names
TAO BLOSSOM
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON GRAY M.AC., DIPL.OM, L.AC (OWNER, LICENSED ACUPUNCTURIST)
(512) 577-9802
Entity
Organization
Contact information
Practice address
1001 S CAPITAL OF TEXAS HWY STE 210, WEST LAKE HILLS, TX 78746-6450
(804) 363-7559
Mailing address
1001 S CAPITAL OF TEXAS HWY STE 210, WEST LAKE HILLS, TX 78746-6450
(804) 363-7559
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01800
TX
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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