MEDICARE: DR. KYUNG SOO YOU MD, ACCU.

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	ACO1179	TX

General Provider Information

NPI Number	:	1306160460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYUNG SOO YOU MD, ACCU.

Provider Business Mailing Address
First Line	:	1035 BLALOCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7424
Country	:	US
Telephone Number	:	713-984-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 BLALOCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7424
Country	:	US
Telephone Number	:	713-984-2255
Fax Number	:

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

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	03/18/2010

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