Organization
ACUPUNCTURE CLINIC
Active
Parent organization
ACUPUNCTURE CLINIC DBA ADVANCED HEALTH CLINIC
Other names
Advanced Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACUPUNCTURE CLINIC DBA ADVANCED HEALTH CLINIC
Authorized official
DR. JALIL BARADARAN L.A.C. (PRESIDENT)
(361) 991-0460
Entity
Organization
Contact information
Practice address
5705 GOLLIHAR, STE 2, CORPUS CHRISTI, TX 78412
(361) 991-0460
(361) 992-1094
Mailing address
5705 GOLLIHAR, STE 2, CORPUS CHRISTI, TX 78412
(361) 991-0460
(361) 992-1094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6152
TX
171100000X
Acupuncturist
AC138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00396X
GROUP #
—
Enumeration date
04/24/2007
Last updated
11/26/2008
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