Healthcare Provider Details

I. General information

NPI: 1063431542
Provider Name (Legal Business Name): WEI-PING KUO L.AC., MSOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 APPLEWHITE DR
KATY TX
77450-1706
US

IV. Provider business mailing address

PO BOX 5584
KATY TX
77491-5584
US

V. Phone/Fax

Practice location:
  • Phone: 281-693-4372
  • Fax: 281-693-4372
Mailing address:
  • Phone: 281-693-4372
  • Fax: 281-693-4372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00598
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: