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NPI Code Detail

MEDICARE: ROUND ROCK ACUPUNCTURE PLLC

MEDICARE: ROUND ROCK ACUPUNCTURE PLLC
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
1171100000XAcupuncturistAC01573TX

General Provider Information

NPI Number : 1316330764
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROUND ROCK ACUPUNCTURE PLLC
Provider Business Mailing Address
First Line : 111 E OLD SETTLERS BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2211
Country : US
Telephone Number : 512-763-0616
Fax Number : 512-277-5133
Provider Business Practice Location Address
First Line : 111 E OLD SETTLERS BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2211
Country : US
Telephone Number : 512-763-0616
Fax Number : 512-277-5133
Authorized Official
Title or Position : OWNER
Name : CHARLEEN LYNN RYSZKOWSKI
Credential : L.AC
Telephone Number : 512-763-0616
Provider Enumeration Date : 03/10/2015
Last Update Date : 03/10/2015

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Directions to “ROUND ROCK ACUPUNCTURE PLLC ” Practice Location

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