MEDICARE: CHIAKI TOMII LIC. 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	227940	MA
2	171100000X	Acupuncturist	AC01565	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1801041967	OTHER		NPI

General Provider Information

NPI Number	:	1801041967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIAKI TOMII LIC. AC.

Provider Business Mailing Address
First Line	:	940 E 51ST ST STE 109
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2253
Country	:	US
Telephone Number	:	512-993-7055
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 E 51ST ST STE 109
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2253
Country	:	US
Telephone Number	:	512-993-7055
Fax Number	:

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

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	11/25/2022

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