Individual
MR. JORGE L. TABARES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MACOM
Contact information
Practice address
2720 BEE CAVES RD, AUSTIN, TX 78746-5642
(619) 723-6705
Mailing address
PO BOX 303111, AUSTIN, TX 78703-0052
(619) 723-6705
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01343
TX
Other
Enumeration date
06/13/2012
Last updated
01/17/2014
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