# WELLNESS ACUPUNCTURE CLINIC INC

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

## Provider details

- **NPI number:** 1588939698
- **Authorized official:** MR. IL WOO LEE (ACUPUNCTURIST)
- **Authorized official phone:** (972) 241-0193

## Contact information

- **Practice address:** 2257 ROYAL LN, STE 100, DALLAS, TX 75229-7819
- **Practice address phone:** (972) 241-0193
- **Practice address fax:** (972) 241-0193
- **Mailing address:** 2257 ROYAL LN, STE 100, DALLAS, TX 75229-7819
- **Mailing address phone:** (972) 241-0193
- **Mailing address fax:** (972) 241-0193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01318 | TX | Yes |

## Other

- **Enumeration date:** 03/22/2012
- **Last updated:** 03/22/2012