MEDICARE: TAO'S CLINIC OF ACUPUNCTURE AND HERB

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	AC00463	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC00463	OTHER	TX	TX ACUPUNCTURE BOARD

General Provider Information

NPI Number	:	1215112602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAO'S CLINIC OF ACUPUNCTURE AND HERB

Provider Business Mailing Address
First Line	:	3227 INDEPENDENCE PKWY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-1972
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3227 INDEPENDENCE PKWY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-1972
Country	:	US
Telephone Number	:	972-673-0908
Fax Number	:

Authorized Official
Title or Position	:	L.AC
Name	:	MR. RICHARD R TAO
Credential	:	L.AC
Telephone Number	:	972-673-0908

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	01/03/2008

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Directions to “TAO'S CLINIC OF ACUPUNCTURE AND HERB ” Practice Location

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