MEDICARE: MRS. HYUNMI HAN 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	AC01633	TX
2	171100000X	Acupuncturist	AC12644	CA

General Provider Information

NPI Number	:	1548615578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HYUNMI HAN L.AC

Provider Business Mailing Address
First Line	:	2000 S DAIRY ASHFORD RD
Second Line	:	SUITE292
City	:	HOUSTON
State	:	TX
Zip	:	77077-5700
Country	:	US
Telephone Number	:	281-506-8795
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 S DAIRY ASHFORD RD
Second Line	:	SUITE292
City	:	HOUSTON
State	:	TX
Zip	:	77077-5700
Country	:	US
Telephone Number	:	281-506-8795
Fax Number	:

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

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	04/27/2016

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