Individual
FENGJIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.M.D.
Contact information
Practice address
10515 BELLAIRE BLVD STE A, HOUSTON, TX 77072-5235
(281) 561-8388
Mailing address
327 FLORAVISTA DR, WEBSTER, TX 77598-2624
(281) 280-0184
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15770588
DRIVE LISCENSE NUMBER
TX
Enumeration date
12/27/2006
Last updated
07/08/2007
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