MEDICARE: ROSIE COELHO L.AC., MACOM

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	01539	TX

General Provider Information

NPI Number	:	1679966253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSIE COELHO L.AC., MACOM

Provider Business Mailing Address
First Line	:	1513 AUGUSTA DR
Second Line	:
City	:	SAVANNAH
State	:	TX
Zip	:	76227-7665
Country	:	US
Telephone Number	:	512-775-7504
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 STACY RD STE 100
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2144
Country	:	US
Telephone Number	:	512-775-7504
Fax Number	:

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

Provider Enumeration Date	:	03/06/2015
Last Update Date	:	05/20/2024

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