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NPI Code Detail

MEDICARE: SHI ACUPUNCTURE & HERBAL CLINIC LLC

MEDICARE: SHI ACUPUNCTURE & HERBAL CLINIC LLC
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
1171100000XAcupuncturistAC01454TX

General Provider Information

NPI Number : 1568869006
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHI ACUPUNCTURE & HERBAL CLINIC LLC
Provider Business Mailing Address
First Line : 1906 W ALABAMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77098-2706
Country : US
Telephone Number : 832-986-5466
Fax Number :
Provider Business Practice Location Address
First Line : 1906 W ALABAMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77098-2706
Country : US
Telephone Number : 832-986-5466
Fax Number :
Authorized Official
Title or Position : ACUPUNCTURIST
Name : DR. SHANG-JIN SHI
Credential : L.AC,M.D.(CHINA),PHD
Telephone Number : 832-986-5466
Provider Enumeration Date : 11/27/2014
Last Update Date : 11/27/2014

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Directions to “SHI ACUPUNCTURE & HERBAL CLINIC LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.