MEDICARE: WEMED CLINIC

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

General Provider Information

NPI Number	:	1164752234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEMED CLINIC

Provider Business Mailing Address
First Line	:	4126 SOUTHWEST FWY STE 1210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7344
Country	:	US
Telephone Number	:	713-572-7540
Fax Number	:	713-621-0881

Provider Business Practice Location Address
First Line	:	4126 SOUTHWEST FWY STE 1210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7344
Country	:	US
Telephone Number	:	713-572-7540
Fax Number	:	713-621-0881

Authorized Official
Title or Position	:	BILLING SERVICE
Name	:	ANNETTE THOMAS
Credential	:
Telephone Number	:	512-940-9456

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	01/12/2010

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Directions to “WEMED CLINIC ” Practice Location

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