# RED RAVEN ACUPUNCTURE, PLLC

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

## Provider details

- **NPI number:** 1689390379
- **Authorized official:** BRET ROGERS L.AC. (OWNER)
- **Authorized official phone:** (512) 450-4228

## Contact information

- **Practice address:** 4212 SAN PEDRO AVE STE 101, SAN ANTONIO, TX 78212-1851
- **Practice address phone:** (512) 450-4228
- **Mailing address:** PO BOX 15033, SAN ANTONIO, TX 78212-8233
- **Mailing address phone:** (512) 450-4228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022