MEDICARE: MS. ANNA M. CAZARES 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	AC01041	TX

General Provider Information

NPI Number	:	1356622526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA M. CAZARES L.AC.

Provider Business Mailing Address
First Line	:	1000 E 7TH ST STE 203
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-3257
Country	:	US
Telephone Number	:	512-228-9158
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E 7TH ST STE 203
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-3257
Country	:	US
Telephone Number	:	512-228-9158
Fax Number	:

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

Provider Enumeration Date	:	09/01/2011
Last Update Date	:	09/01/2011

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