# BODY EVOLUTION ACUPUNCTURE AND WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1326392788
- **Authorized official:** MS. JENNIFER STANG L.AC. (CEO, ACUPUNCTURIST)
- **Authorized official phone:** (512) 522-7405

## Contact information

- **Practice address:** 4111 MARATHON BLVD, SUITE 110, AUSTIN, TX 78756-3719
- **Practice address phone:** (512) 522-7405
- **Mailing address:** 115 SANDRA MURAIDA WAY, APT. 329, AUSTIN, TX 78703-4696
- **Mailing address phone:** (404) 512-6850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01374 | TX | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 11/06/2012
