MEDICARE: MR. HSIEN-MIN YEH M.O.M

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC00926	TX

General Provider Information

NPI Number	:	1619225380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HSIEN-MIN YEH M.O.M

Provider Business Mailing Address
First Line	:	3406 AMPHORA CIRCLE
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479
Country	:	US
Telephone Number	:	281-242-7834
Fax Number	:

Provider Business Practice Location Address
First Line	:	6415-C SAN FELIPE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057
Country	:	US
Telephone Number	:	713-782-1803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	08/28/2012

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