Individual
KEMI CUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OMD
Contact information
Practice address
109 MOSS ROSE, KOSSE, TX 76653-3850
(254) 375-2831
Mailing address
5103 CASEY RD, ROSHARON, TX 77583-2605
(281) 734-0673
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01276
TX
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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