Organization
TEXAS HEALTH AND SCIENCE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUE GONG (CLINIC MANAGER)
(504) 919-7353
Entity
Organization
Contact information
Practice address
1707 FORTVIEW RD, AUSTIN, TX 78704-7620
(512) 912-8484
Mailing address
4005 MANCHACA RD, AUSTIN, TX 78704-6737
(512) 444-8082
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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