Healthcare Provider Details

I. General information

NPI: 1073936225
Provider Name (Legal Business Name): ALAMO ACUPUNCTURE & CHINESE HERBAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 RITTIMAN PLZ
SAN ANTONIO TX
78218-5216
US

IV. Provider business mailing address

6009 RITTIMAN PLZ
SAN ANTONIO TX
78218-5216
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: YAO-CHUNG TSENG
Title or Position: PRESIDENT
Credential:
Phone: 210-820-8717