Individual
ELIZABETH MOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
12741 RESEARCH BLVD, SUITE 505, AUSTIN, TX 78759-4388
(512) 419-1076
(512) 410-2322
Mailing address
9304 EDDYSTONE ST, AUSTIN, TX 78729-4521
(512) 419-1076
(512) 410-2322
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00029
TX
Other
Enumeration date
08/24/2010
Last updated
08/26/2010
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