Healthcare Provider Details

I. General information

NPI: 1568689636
Provider Name (Legal Business Name): HUIWEN ZHANG OMD, ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9163 W FLAMINGO RD SUITE 110
LAS VEGAS NV
89147-6457
US

IV. Provider business mailing address

9163 W FLAMINGO RD SUITE 110
LAS VEGAS NV
89147-6457
US

V. Phone/Fax

Practice location:
  • Phone: 702-898-7899
  • Fax: 702-898-7898
Mailing address:
  • Phone: 702-898-7899
  • Fax: 702-898-7898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number68
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: