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Organization

BIRDS NEST ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEAH SHADWICK L.AC. (ACUPUNCTURIST)
(512) 761-6719
Entity
Organization

Contact information

Practice address
4101 MEDICAL PKWY, SUITE 113, AUSTIN, TX 78756-3734
(512) 761-6719
Mailing address
4101 MEDICAL PKWY, SUITE 113, AUSTIN, TX 78756-3734
(512) 761-6719

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01379
TX

Other

Enumeration date
02/16/2015
Last updated
02/16/2015
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