MEDICARE: COPULOS & ASSOCIATES

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
1	171100000X	Acupuncturist	AC01342	TX

General Provider Information

NPI Number	:	1053671149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COPULOS & ASSOCIATES

Provider Business Mailing Address
First Line	:	3220 MANOR RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-5721
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 MANOR RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-5721
Country	:	US
Telephone Number	:	512-291-3984
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	URSULA COPULOS
Credential	:
Telephone Number	:	512-291-3984

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	05/22/2012

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