Healthcare Provider Details

I. General information

NPI: 1295860567
Provider Name (Legal Business Name): YANQING HUANG L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 DE ZAVALA RD
SAN ANTONIO TX
78249-2022
US

IV. Provider business mailing address

13710 RIDGE CHASE
SAN ANTONIO TX
78230-1189
US

V. Phone/Fax

Practice location:
  • Phone: 210-219-7019
  • Fax:
Mailing address:
  • Phone: 210-479-5462
  • Fax: 210-479-5462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00849
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: