MEDICARE: MU ACUPUCNTURE AND WELLNESS CLINIC INC

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	AC00453	TX

General Provider Information

NPI Number	:	1821286329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MU ACUPUCNTURE AND WELLNESS CLINIC INC

Provider Business Mailing Address
First Line	:	1516 ACACIA BUD DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78733-5755
Country	:	US
Telephone Number	:	512-468-5902
Fax Number	:

Provider Business Practice Location Address
First Line	:	3839 BEE CAVE RD STE 202
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5318
Country	:	US
Telephone Number	:	512-468-5902
Fax Number	:

Authorized Official
Title or Position	:	OWENER
Name	:	JIANHUA MU
Credential	:
Telephone Number	:	512-468-5902

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	12/16/2010

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