# BIRDS NEST ACUPUNCTURE

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

## Provider details

- **NPI number:** 1336530187
- **Authorized official:** MRS. LEAH SHADWICK L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (512) 761-6719

## Contact information

- **Practice address:** 4101 MEDICAL PKWY, SUITE 113, AUSTIN, TX 78756-3734
- **Practice address phone:** (512) 761-6719
- **Mailing address:** 4101 MEDICAL PKWY, SUITE 113, AUSTIN, TX 78756-3734
- **Mailing address phone:** (512) 761-6719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01379 | TX | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015