Organization
EASTERN BALANCE ORIENTAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN GONG (OWNER)
(713) 922-8179
Entity
Organization
Contact information
Practice address
2539 S GESSNER RD, SUITE 15, HOUSTON, TX 77063-2034
(713) 922-8179
(832) 843-0317
Mailing address
2539 S GESSNER RD, SUITE 15, HOUSTON, TX 77063-2034
(713) 922-8179
(832) 843-0317
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00748
TX
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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