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Organization
AUSTIN TRANSFORMATIONAL HEALTH PLLC
Active
Organization
AUSTIN TRANSFORMATIONAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYN KANUCK LAC (OWNER)
(610) 703-8105
Entity
Organization
Contact information
Practice address
6618 SITIO DEL RIO BLVD STE D103, AUSTIN, TX 78730-1148
(610) 703-8105
Mailing address
700 COUNTY ROAD 180, LEANDER, TX 78641-3147
(610) 703-8105
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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