Individual
GUOJI GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST.,
Contact information
Practice address
13010 N HIGHWAY 183, 103, AUSTIN, TX 78750-3247
(512) 219-0903
Mailing address
13010 N HIGHWAY 183, 103, AUSTIN, TX 78750-3247
(512) 219-0903
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00051
TX
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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