Organization
FANGYUAN TCM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUELLA CASTELLANOS (DIRECTOR OF OPERATIONS)
(469) 426-8683
Entity
Organization
Contact information
Practice address
1320 W WALNUT HILL LN, IRVING, TX 75038-3007
(972) 444-0660
(469) 262-5771
Mailing address
1320 W WALNUT HILL LN, IRVING, TX 75038-3007
(972) 444-0660
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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