Healthcare Provider Details

I. General information

NPI: 1942553292
Provider Name (Legal Business Name): HECTOR RENE KUHN NARANJO SR. M.A.O.M., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 GUNTER ST
AUSTIN TX
78702-4021
US

IV. Provider business mailing address

PO BOX 9273
AUSTIN TX
78766-9273
US

V. Phone/Fax

Practice location:
  • Phone: 512-367-3137
  • Fax:
Mailing address:
  • Phone: 512-367-3137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC01037
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: