# SOUTHSIDE ACUPUNCTURE, PLLC

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

## Provider details

- **NPI number:** 1568743102
- **Authorized official:** CAMERON M SZOK L.AC. (OWNER/LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (817) 913-2421

## Contact information

- **Practice address:** 1810 8TH AVE, SUITE B, FORT WORTH, TX 76110-1352
- **Practice address phone:** (817) 913-2421
- **Mailing address:** 3010 6TH AVE, FORT WORTH, TX 76110-3434
- **Mailing address phone:** (817) 913-2421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01294 | TX | Yes |

## Other

- **Enumeration date:** 09/08/2011
- **Last updated:** 04/18/2016