Organization
FOUR GATES ACUPUNCTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WALLACE FAIN L.AC. (PRESIDENT)
(713) 953-0988
Entity
Organization
Contact information
Practice address
10215 BRIAR ROSE DR, HOUSTON, TX 77042-2425
(713) 953-0988
Mailing address
10215 BRIAR ROSE DR, HOUSTON, TX 77042-2425
(713) 953-0988
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01351
TX
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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