MEDICARE: METAPOINT ACUPUNCTURE AND WELLNESS

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	01599	TX

General Provider Information

NPI Number	:	1053760405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METAPOINT ACUPUNCTURE AND WELLNESS

Provider Business Mailing Address
First Line	:	13133 NW MILITARY HWY
Second Line	:	#400
City	:	SAN ANTONIO
State	:	TX
Zip	:	78231-1813
Country	:	US
Telephone Number	:	210-608-0802
Fax Number	:

Provider Business Practice Location Address
First Line	:	13133 NW MILITARY HWY
Second Line	:	#400
City	:	SAN ANTONIO
State	:	TX
Zip	:	78231-1813
Country	:	US
Telephone Number	:	210-608-0802
Fax Number	:

Authorized Official
Title or Position	:	LICENSED ACUPUCNTURIST
Name	:	MRS. KELLY JESSALYN SAUER
Credential	:	LAC
Telephone Number	:	210-608-0802

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	06/07/2016

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