MEDICARE: DR. CHEN XIA L.AC., PH.D

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	AC00821	TX

General Provider Information

NPI Number	:	1760589071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHEN XIA L.AC., PH.D

Provider Business Mailing Address
First Line	:	5518 SYLMAR RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-7424
Country	:	US
Telephone Number	:	713-269-8755
Fax Number	:

Provider Business Practice Location Address
First Line	:	5518 SYLMAR RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-7424
Country	:	US
Telephone Number	:	713-269-8755
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	11/03/2016

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