MEDICARE: ENERGY CENTER INC

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	:	1235887829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENERGY CENTER INC

Provider Business Mailing Address
First Line	:	10326 ROYAL CHAPEL DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-5039
Country	:	US
Telephone Number	:	214-717-1217
Fax Number	:

Provider Business Practice Location Address
First Line	:	10326 ROYAL CHAPEL DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-5039
Country	:	US
Telephone Number	:	214-717-1217
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. ARIANA GEOFFREY STAHLKA
Credential	:	LAC
Telephone Number	:	214-717-1217

Provider Enumeration Date	:	03/14/2022
Last Update Date	:	03/14/2022

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Directions to “ENERGY CENTER INC ” Practice Location

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