Healthcare Provider Details

I. General information

NPI: 1023223369
Provider Name (Legal Business Name): YAOCHUNG TSENG ACUPUNCTURIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BILL TSENG ACUPUNCTURIST

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 RITTIMAN PLAZA
SAN ANTONIO TX
78218
US

IV. Provider business mailing address

6009 RITTIMAN PLAZA
SAN ANTONIO TX
78218
US

V. Phone/Fax

Practice location:
  • Phone: 210-820-8717
  • Fax: 210-822-9078
Mailing address:
  • Phone: 210-820-8717
  • Fax: 210-822-9078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00397
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: