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Organization
EASTEN SPIRIT ACUPUNCTURE AND HERBAL CLINIC
Active
Organization
EASTEN SPIRIT ACUPUNCTURE AND HERBAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SY-PING MIMI FANG LAC (PRESIDENT)
(832) 549-3152
Entity
Organization
Contact information
Practice address
5218 CEDAR ST, STE. A, BELLAIRE, TX 77401-4052
(832) 549-3152
Mailing address
5218 CEDAR ST, STE. A, BELLAIRE, TX 77401-4052
(832) 549-3152
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043452907
NPI, TYPE 1
—
Enumeration date
03/24/2009
Last updated
03/24/2009
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