Healthcare Provider Details

I. General information

NPI: 1285763649
Provider Name (Legal Business Name): THOMAS ALLAN EYRING L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 E ARENAS RD STE 2
PALM SPRINGS CA
92262-7161
US

IV. Provider business mailing address

1750 E ARENAS RD STE 2
PALM SPRINGS CA
92262-7161
US

V. Phone/Fax

Practice location:
  • Phone: 760-327-8726
  • Fax:
Mailing address:
  • Phone: 760-904-6034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3282
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: