Healthcare Provider Details

I. General information

NPI: 1629913025
Provider Name (Legal Business Name): HERBPHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 CASTLE RIDGE ROAD APTA
AUSTIN TX
78746
US

IV. Provider business mailing address

617 CASTLE RIDGE ROAD APTA
AUSTIN TX
78746
US

V. Phone/Fax

Practice location:
  • Phone: 512-820-2025
  • Fax: 512-820-2025
Mailing address:
  • Phone: 512-820-2025
  • Fax: 512-820-2025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: BINHUA YUAN
Title or Position: OWNER
Credential: L.AC
Phone: 512-820-2025