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Organization
SOUTHSIDE ACUPUNCTURE, PLLC
Active
Organization
SOUTHSIDE ACUPUNCTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON M SZOK L.AC. (OWNER/LICENSED ACUPUNCTURIST)
(817) 913-2421
Entity
Organization
Contact information
Practice address
1810 8TH AVE, SUITE B, FORT WORTH, TX 76110-1352
(817) 913-2421
Mailing address
3010 6TH AVE, FORT WORTH, TX 76110-3434
(817) 913-2421
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01294
TX
Other
Enumeration date
09/08/2011
Last updated
04/18/2016
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