Healthcare Provider Details
I. General information
NPI: 1487987889
Provider Name (Legal Business Name): ACUCARE SOLUTIONS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2009
Last Update Date: 09/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15321 SAN PEDRO AVE. #106
SAN ANTONIO TX
78232-3712
US
IV. Provider business mailing address
15321 SAN PEDRO AVE. #106
SAN ANTONIO TX
78232-3712
US
V. Phone/Fax
- Phone: 210-545-0000
- Fax:
- Phone: 210-545-0000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC00647 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
CECILIA
GULYAS
Title or Position: L.AC. DOM, PHD
Credential:
Phone: 210-545-0000