Individual
BECKY SUE UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2800 WILLIAM D TATE AVE STE 300, GRAPEVINE, TX 76051-4326
(817) 210-6694
Mailing address
2800 WILLIAM D TATE AVE STE 300, GRAPEVINE, TX 76051-4326
(817) 210-6694
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC02102
TX
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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