MEDICARE: DR. LINDA SARAH COLLINGS DACCHM, LAC

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	AC02172	TX

General Provider Information

NPI Number	:	1649083924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA SARAH COLLINGS DACCHM, LAC

Provider Business Mailing Address
First Line	:	8725 DAVIS BLVD STE 122
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-0309
Country	:	US
Telephone Number	:	817-988-0230
Fax Number	:

Provider Business Practice Location Address
First Line	:	8725 DAVIS BLVD STE 122
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-0309
Country	:	US
Telephone Number	:	817-988-0230
Fax Number	:

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

Provider Enumeration Date	:	01/30/2025
Last Update Date	:	01/30/2025

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