# DR FAN ACUPUNCTURE CLINIC LLC

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

## Provider details

- **NPI number:** 1326804519
- **Authorized official:** YONGXIN FAN LAC (PRESIDENT)
- **Authorized official phone:** (512) 999-3990

## Contact information

- **Practice address:** 4131 SPICEWOOD SPRINGS RD STE Q2, AUSTIN, TX 78759-8665
- **Practice address phone:** (512) 999-3990
- **Practice address fax:** (512) 520-4233
- **Mailing address:** 4131 SPICEWOOD SPRINGS RD STE Q2, AUSTIN, TX 78759-8665
- **Mailing address phone:** (512) 999-3990
- **Mailing address fax:** (512) 520-4233

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 05/07/2024