# TEXAS HEALTH & SCIENCE UNIVERSITY PROFESSIONAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TEXAS HEALTH & SCIENCE UNIVERSITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194161968
- **Legal business name:** TEXAS HEALTH & SCIENCE UNIVERSITY
- **Authorized official:** MS. LISA LIN (PRESIDENT, CEO)
- **Authorized official phone:** (512) 914-8888

## Contact information

- **Practice address:** 1707 FORTVIEW RD, AUSTIN, TX 78704-7620
- **Practice address phone:** (512) 445-2222
- **Mailing address:** 1707 FORTVIEW RD, AUSTIN, TX 78704-7620
- **Mailing address phone:** (512) 445-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01408 | TX | Yes |

## Other

- **Enumeration date:** 05/20/2013
- **Last updated:** 05/20/2013