# ACUPUNCTURE WELLNESS CENTER

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

## Provider details

- **NPI number:** 1801073622
- **Authorized official:** PAM DURHAM LAC (ACUPUNCTURIST)
- **Authorized official phone:** (817) 285-0622

## Contact information

- **Practice address:** 1424 BROWN TRL, SUITE B, BEDFORD, TX 76022-6499
- **Practice address phone:** (817) 285-0622
- **Mailing address:** 1424 BROWN TRL, SUITE B, BEDFORD, TX 76022-6499
- **Mailing address phone:** (817) 285-0622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00751 | TX | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 01/23/2008