MEDICARE: WEI DONG

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	AC01324	TX

General Provider Information

NPI Number	:	1679995104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEI DONG

Provider Business Mailing Address
First Line	:	8232 NOVARO DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4819
Country	:	US
Telephone Number	:	469-619-5024
Fax Number	:

Provider Business Practice Location Address
First Line	:	7712 SAN JACINTO PL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3257
Country	:	US
Telephone Number	:	972-669-1212
Fax Number	:

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

Provider Enumeration Date	:	01/17/2014
Last Update Date	:	01/17/2014

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Directions to “ WEI DONG ” Practice Location

Language	Start Address	Practice Location

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