MEDICARE: SHINING CHIROPRACTIC & ACUPUNCTURE LLC

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
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1831058767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINING CHIROPRACTIC & ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	7912 PRESTON RD
Second Line	:	1002
City	:	FRISCO
State	:	TX
Zip	:	75035
Country	:	US
Telephone Number	:	214-308-9254
Fax Number	:	214-308-9253

Provider Business Practice Location Address
First Line	:	7912 PRESTON RD
Second Line	:	1002
City	:	FRISCO
State	:	TX
Zip	:	75035
Country	:	US
Telephone Number	:	214-308-9254
Fax Number	:	214-308-9253

Authorized Official
Title or Position	:	OWNER
Name	:	JUNGHWAN SEO
Credential	:
Telephone Number	:	214-308-9254

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	05/26/2026

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