MEDICARE: MRS. CRISTINA YUHFEN WANG L.AC.

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	AC0076	TX

General Provider Information

NPI Number	:	1225242969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRISTINA YUHFEN WANG L.AC.

Provider Business Mailing Address
First Line	:	7723 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4933
Country	:	US
Telephone Number	:	713-778-9988
Fax Number	:

Provider Business Practice Location Address
First Line	:	6655 HILLCROFT ST STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4815
Country	:	US
Telephone Number	:	713-778-9988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

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