MEDICARE: MICHELLE JU 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	AC02150	TX

General Provider Information

NPI Number	:	1497591085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE JU L.AC

Provider Business Mailing Address
First Line	:	817 REINERMAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5237
Country	:	US
Telephone Number	:	832-541-1478
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 E T C JESTER BLVD STE 130
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1454
Country	:	US
Telephone Number	:	713-338-9657
Fax Number	:

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

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/03/2024

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Directions to “ MICHELLE JU L.AC” Practice Location

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