MEDICARE: KOH HEALTHCARE SYSTEMS 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	AC01275	TX

General Provider Information

NPI Number	:	1497049928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOH HEALTHCARE SYSTEMS INC.

Provider Business Mailing Address
First Line	:	2035 ROYAL LN
Second Line	:	#280
City	:	DALLAS
State	:	TX
Zip	:	75229-3267
Country	:	US
Telephone Number	:	214-352-6677
Fax Number	:	877-643-4072

Provider Business Practice Location Address
First Line	:	2035 ROYAL LN
Second Line	:	#280
City	:	DALLAS
State	:	TX
Zip	:	75229-3267
Country	:	US
Telephone Number	:	214-352-6677
Fax Number	:	877-643-4072

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID YOUNG KOH
Credential	:	D.C
Telephone Number	:	214-352-6677

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	06/01/2011

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Directions to “KOH HEALTHCARE SYSTEMS INC. ” Practice Location

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