Organization
ABALONE ACUPUNCTURE OF AUSTIN
Active
Organization
ABALONE ACUPUNCTURE OF AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SLADE LANDRY MANES LAC,MSOM,LMT,CMT (ACUPUNCTURIST, MASSAGE THERAPIST)
(512) 203-1816
Entity
Organization
Contact information
Practice address
802 W SAINT ELMO RD, AUSTIN, TX 78745-1153
(512) 203-1816
Mailing address
17909 LINKVIEW DR, DRIPPING SPRINGS, TX 78620-2672
(512) 203-1816
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC01480
TX
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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