Organization
EVERGREEN TCM, INC
Active
Other names
Winnie Au Acupuncture Center
Organization subpart
No
Provider details
NPI number
Authorized official
WINNIE Y AU (PRESIDENT)
(817) 590-8188
Entity
Organization
Contact information
Practice address
209 BEDFORD RD STE 160, BEDFORD, TX 76022-6200
(817) 590-8188
Mailing address
209 BEDFORD RD STE 160, BEDFORD, TX 76022-6200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019LQ
BCBS PROVIDER
TX
Enumeration date
06/04/2008
Last updated
06/04/2008
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