Healthcare Provider Details
I. General information
NPI: 1851840581
Provider Name (Legal Business Name): ZOI CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2016
Last Update Date: 09/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 N MAIN ST SUITE 100
BUDA TX
78610-3314
US
IV. Provider business mailing address
320 N MAIN ST SUITE 100
BUDA TX
78610-3314
US
V. Phone/Fax
- Phone: 512-648-0610
- Fax:
- Phone: 512-648-0610
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC01613 |
| License Number State | TX |
VIII. Authorized Official
Name:
BRITTANY
LYNNE
DAVIS
Title or Position: LICENSED ACUPUNCTURIST / HERBALIST
Credential: L.AC.
Phone: 512-648-0610