MEDICARE: REBECCA LEDOUX

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	AC00917	TX

General Provider Information

NPI Number	:	1225577588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA LEDOUX

Provider Business Mailing Address
First Line	:	PO BOX 66911
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78766-6911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7813 MULLEN DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-1348
Country	:	US
Telephone Number	:	512-206-1567
Fax Number	:

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

Provider Enumeration Date	:	02/20/2017
Last Update Date	:	06/17/2022

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Directions to “ REBECCA LEDOUX ” Practice Location

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