# MAGIC CHINESE MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magic Chinese Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497500060
- **Authorized official:** KE CHEN LAC (BUSINESS OWNER)
- **Authorized official phone:** (121) 021-4072

## Contact information

- **Practice address:** 18756 STONE OAK PKWY STE 200, SAN ANTONIO, TX 78258-4354
- **Practice address phone:** (210) 214-0729
- **Practice address fax:** (210) 664-7399
- **Mailing address:** 19002 GENTLE KNL, SAN ANTONIO, TX 78258-3415
- **Mailing address phone:** (210) 214-0729

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/18/2024