Healthcare Provider Details

I. General information

NPI: 1972141307
Provider Name (Legal Business Name): RESTORED HEALTH ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4704 CASTLEMAN DR
AUSTIN TX
78725-1720
US

IV. Provider business mailing address

4704 CASTLEMAN DR
AUSTIN TX
78725-1720
US

V. Phone/Fax

Practice location:
  • Phone: 737-300-7176
  • Fax:
Mailing address:
  • Phone: 737-300-7176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHENGYI SUNG
Title or Position: OWNER
Credential:
Phone: 737-346-5136