Individual
MIA VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
5301 SOUTHWEST PKWY STE 350, AUSTIN, TX 78735-8985
(512) 738-3757
Mailing address
5511 CAPROCK SUMMIT DR APT 6401, BEE CAVE, TX 78738-5688
(734) 771-5583
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC02260
TX
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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