# EASTERN BALANCE ORIENTAL MEDICINE LLC

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

## Provider details

- **NPI number:** 1366795676
- **Authorized official:** DR. ELLEN GONG (OWNER)
- **Authorized official phone:** (713) 922-8179

## Contact information

- **Practice address:** 2539 S GESSNER RD, SUITE 15, HOUSTON, TX 77063-2034
- **Practice address phone:** (713) 922-8179
- **Practice address fax:** (832) 843-0317
- **Mailing address:** 2539 S GESSNER RD, SUITE 15, HOUSTON, TX 77063-2034
- **Mailing address phone:** (713) 922-8179
- **Mailing address fax:** (832) 843-0317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00748 | TX | Yes |

## Other

- **Enumeration date:** 10/24/2012
- **Last updated:** 10/24/2012