Healthcare Provider Details

I. General information

NPI: 1083805170
Provider Name (Legal Business Name): HUANGDI ACUPUNCTURE AND HERBAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 08/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3056 NORTHPARK DR
KINGWOOD TX
77339-5124
US

IV. Provider business mailing address

19118 MILLOAK DR
HUMBLE TX
77346-4004
US

V. Phone/Fax

Practice location:
  • Phone: 281-684-9127
  • Fax:
Mailing address:
  • Phone: 281-684-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number00892
License Number StateTX

VIII. Authorized Official

Name: ANNEES GURMANI
Title or Position: L. AC
Credential: LIC. ACUPUNCTURIST
Phone: 281-684-9127