Organization
TAO BLOSSOM PLLC
Active
Other names
TAO BLOSSOM
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON GRAY M.AC., DIPL.OM, L.AC (OWNER, LICENSED ACUPUNCTURIST)
(512) 577-9802
Entity
Organization
Contact information
Practice address
1001 S CAPITAL OF TEXAS HWY STE 210, WEST LAKE HILLS, TX 78746-6450
(804) 363-7559
Mailing address
1001 S CAPITAL OF TEXAS HWY STE 210, WEST LAKE HILLS, TX 78746-6450
(804) 363-7559
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01800
TX
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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