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Organization

ACUPUNCTURE MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN JOSEPH MCKENNA DOM, LIC.AC. (OWNER)
(713) 942-9688
Entity
Organization

Contact information

Practice address
716 CHELSEA BLVD, HOUSTON, TX 77006-6206
(713) 942-9688
(713) 942-9335
Mailing address
716 CHELSEA BLVD, HOUSTON, TX 77006-6206
(713) 942-9688
(713) 942-9335

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00410
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0029LQ
BLUE CROSS
TX
Enumeration date
01/10/2008
Last updated
01/10/2008
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