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NPI Code Detail

MEDICARE: EASTBOUND ACUPUNCTURE LLP

MEDICARE: EASTBOUND ACUPUNCTURE LLP
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
1171100000XAcupuncturist1079TX

General Provider Information

NPI Number : 1073756813
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTBOUND ACUPUNCTURE LLP
Provider Business Mailing Address
First Line : 1210 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2023
Country : US
Telephone Number : 512-506-1608
Fax Number :
Provider Business Practice Location Address
First Line : 1210 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2023
Country : US
Telephone Number : 512-506-1608
Fax Number :
Authorized Official
Title or Position : LICENSED ACUPUNCTURIST
Name : JAMIE LEE SCOTT
Credential : L.AC.
Telephone Number : 512-506-1608
Provider Enumeration Date : 04/09/2009
Last Update Date : 04/09/2009

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Directions to “EASTBOUND ACUPUNCTURE LLP ” Practice Location

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