MEDICARE: JEREMY FREEMAN 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	AC01031	TX

General Provider Information

NPI Number	:	1548433964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY FREEMAN L.AC.

Provider Business Mailing Address
First Line	:	3303 LEE PKWY
Second Line	:	SUITE 350
City	:	DALLAS
State	:	TX
Zip	:	75219-5108
Country	:	US
Telephone Number	:	972-439-2396
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 LEE PKWY
Second Line	:	SUITE 350
City	:	DALLAS
State	:	TX
Zip	:	75219-5108
Country	:	US
Telephone Number	:	972-439-2396
Fax Number	:

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

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	04/07/2008

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Directions to “ JEREMY FREEMAN L.AC.” Practice Location

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