Individual
MR. CHARLES ERNEST LYDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC. MAOM
Contact information
Practice address
22450 TOMBALL PKWY, HOUSTON, TX 77070-1529
(832) 706-2211
Mailing address
6814 SEINFELD CT, HOUSTON, TX 77069-2205
(713) 628-2756
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01915
TX
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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