MEDICARE: MR. YONG XIN FAN L.AC, M.D. (CHINA)

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	AC00663	TX

General Provider Information

NPI Number	:	1528236528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YONG XIN FAN L.AC, M.D. (CHINA)

Provider Business Mailing Address
First Line	:	4131 SPICEWOOD SPRINGS RD STE Q2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8665
Country	:	US
Telephone Number	:	512-999-3990
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 SPICEWOOD SPRINGS RD STE Q2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8665
Country	:	US
Telephone Number	:	512-999-3990
Fax Number	:

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

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	06/05/2024

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Directions to “ MR. YONG XIN FAN L.AC, M.D. (CHINA)” Practice Location

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