MEDICARE: OUROBOROS ACUPUNCTURE AND ALCHEMY PLLC

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

General Provider Information

NPI Number	:	1750247631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUROBOROS ACUPUNCTURE AND ALCHEMY PLLC

Provider Business Mailing Address
First Line	:	8705 MERIDIAN OAK LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-7971
Country	:	US
Telephone Number	:	985-212-9593
Fax Number	:

Provider Business Practice Location Address
First Line	:	904 WEST AVE STE 109
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-2204
Country	:	US
Telephone Number	:	985-212-9593
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIELLE BOWER
Credential	:	LAC
Telephone Number	:	985-212-9593

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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