# BOCANGEL INTEGRATIVE MEDICINE & ACUPUNCTURE, LLC

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

## Provider details

- **NPI number:** 1215584644
- **Authorized official:** SANDRA MEDINA BOCANGEL LAC (PRESIDENT)
- **Authorized official phone:** (512) 809-5430

## Contact information

- **Practice address:** 7122 SAN PEDRO AVE STE 106, SAN ANTONIO, TX 78216-6233
- **Practice address phone:** (210) 967-4400
- **Mailing address:** 100 LORENZ RD APT 404, SAN ANTONIO, TX 78209-2539

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/21/2019
