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NPI Code Detail

MEDICARE: ELEMENTS OF ACUPUNCTURE PLLC

MEDICARE: ELEMENTS OF ACUPUNCTURE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterAC01220TX

General Provider Information

NPI Number : 1053617530
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEMENTS OF ACUPUNCTURE PLLC
Provider Business Mailing Address
First Line : 3851 STAHL RD STE 123
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-1686
Country : US
Telephone Number : 210-298-5188
Fax Number :
Provider Business Practice Location Address
First Line : 3851 STAHL RD STE 123
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-1686
Country : US
Telephone Number : 210-298-5188
Fax Number :
Authorized Official
Title or Position : L.AC.
Name : MS. JOANNA LEI SHELTON
Credential : L.AC.
Telephone Number : 210-298-5188
Provider Enumeration Date : 02/01/2011
Last Update Date : 02/01/2011

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Directions to “ELEMENTS OF ACUPUNCTURE PLLC ” Practice Location

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