# GREEN CRESCENT HERBS & ACUPUNCTURE CLINIC

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

## Provider details

- **NPI number:** 1619159258
- **Authorized official:** SAIYAD SALAHUDDIN AHMAD L.AC. (CLINIC DIRECTOR)
- **Authorized official phone:** (214) 718-7646

## Contact information

- **Practice address:** 13520 T I BLVD, SUITE 110, DALLAS, TX 75243-1420
- **Practice address phone:** (214) 718-7646
- **Practice address fax:** (972) 671-1158
- **Mailing address:** 13520 T I BLVD, SUITE 110, DALLAS, TX 75243-1420
- **Mailing address phone:** (214) 718-7646
- **Mailing address fax:** (972) 671-1158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00653 | TX | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 12/05/2007