# MB LASER CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MB LASER THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841716008
- **Authorized official:** MS. THERESA NGOC QUACH L.AC (MEDICAL CONSULTANT)
- **Authorized official phone:** (949) 331-6913

## Contact information

- **Practice address:** 3740 S GESSNER RD, HOUSTON, TX 77063-5132
- **Practice address phone:** (346) 240-3874
- **Practice address fax:** (469) 283-1758
- **Mailing address:** 6200 WILCREST DR, HOUSTON, TX 77072-1400
- **Mailing address phone:** (346) 240-3874
- **Mailing address fax:** (469) 283-1758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | J3242 | TX | Yes |
| 208D00000X | General Practice Physician | J3242 | TX | — |
| 261QR0400X | Rehabilitation Clinic/Center | J3242 | TX | — |

## Other

- **Enumeration date:** 08/19/2017
- **Last updated:** 07/21/2022