# EASTEN SPIRIT ACUPUNCTURE AND HERBAL CLINIC

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

## Provider details

- **NPI number:** 1851533707
- **Authorized official:** SY-PING MIMI FANG LAC (PRESIDENT)
- **Authorized official phone:** (832) 549-3152

## Contact information

- **Practice address:** 5218 CEDAR ST, STE. A, BELLAIRE, TX 77401-4052
- **Practice address phone:** (832) 549-3152
- **Mailing address:** 5218 CEDAR ST, STE. A, BELLAIRE, TX 77401-4052
- **Mailing address phone:** (832) 549-3152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00596 | TX | Yes |

## Other

- **Enumeration date:** 03/24/2009
- **Last updated:** 03/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1043452907 | NPI, TYPE 1 | — |