MEDICARE: JESSICA GLASS L.AC

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	AC02262	TX

General Provider Information

NPI Number	:	1922939750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA GLASS L.AC

Provider Business Mailing Address
First Line	:	1901 ONION CREEK PKWY APT 3104
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-1970
Country	:	US
Telephone Number	:	631-521-9745
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 S MOPAC EXPY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-6723
Country	:	US
Telephone Number	:	631-521-9745
Fax Number	:

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ JESSICA GLASS L.AC” Practice Location

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