# BALCONES ACUPUNCTURE, INC.

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

## Provider details

- **NPI number:** 1972819126
- **Authorized official:** ELIZABETH MOOSE L.AC. (OWNER)
- **Authorized official phone:** (512) 419-1076

## Contact information

- **Practice address:** 12741 RESEARCH BLVD, SUITE 505, AUSTIN, TX 78759-4388
- **Practice address phone:** (512) 419-1076
- **Mailing address:** 9304 EDDYSTONE ST, AUSTIN, TX 78729-4521
- **Mailing address phone:** (512) 419-1076
- **Mailing address fax:** (512) 410-2322

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2010
- **Last updated:** 08/26/2010