Individual
PHYLLIS KUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1707 FORTVIEW RD, AUSTIN, TX 78704-7620
(512) 445-4444
Mailing address
2121 DICKSON DR, 317, AUSTIN, TX 78704-3963
(512) 650-8880
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
TX
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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