MEDICARE: STEPHANIE CHEEK 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	AC01544	TX

General Provider Information

NPI Number	:	1679982920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE CHEEK L.AC.

Provider Business Mailing Address
First Line	:	2910 KINLOCH DR
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-4337
Country	:	US
Telephone Number	:	512-626-1271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 CYPRESS CREEK RD
Second Line	:	SUITE 107
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-4150
Country	:	US
Telephone Number	:	512-215-0844
Fax Number	:

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

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	05/17/2015

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