MEDICARE: EAST WEST NATURAL HEALTH CARE, 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	:	1811644537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST WEST NATURAL HEALTH CARE, PLLC

Provider Business Mailing Address
First Line	:	2500 W WILLIAM CANNON DR STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5288
Country	:	US
Telephone Number	:	737-297-7395
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W WILLIAM CANNON DR STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5288
Country	:	US
Telephone Number	:	737-297-7395
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KUN LIU
Credential	:	LAC. DAOM
Telephone Number	:	737-297-7395

Provider Enumeration Date	:	03/02/2022
Last Update Date	:	03/02/2022

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