Organization
YEN ACUPUNCTURE & HERBAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY I YEN L. AC. (PRESIDENT)
(512) 260-1710
Entity
Organization
Contact information
Practice address
715 DISCOVERY BLVD, SUITE 305, CEDAR PARK, TX 78613-2287
(512) 260-1710
Mailing address
715 DISCOVERY BLVD, SUITE 305, CEDAR PARK, TX 78613-2287
(512) 260-1710
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075LQ
BLUE CROSS BLUE SHIELD PROVIDER NUMBER (YEN ACUPUNCTURE & HERBAL CLINIC, INC.)
TX
01
—
8M8458
BLUE CROSS BLUE SHIELD PROVIDER NUMBER (JIMMY I YEN)
TX
Enumeration date
06/26/2008
Last updated
08/05/2008
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