MEDICARE: AMR INTEGRATIVE ACUPUNCTURE & ORIENTAL MEDICINE

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	261Q00000X	Clinic/Center	AC01553	TX
2	261QH0100X	Health Service Clinic/Center	AC01553	TX
3	171100000X	Acupuncturist	C01553	TX

General Provider Information

NPI Number	:	1902284243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMR INTEGRATIVE ACUPUNCTURE & ORIENTAL MEDICINE

Provider Business Mailing Address
First Line	:	214 N 16TH ST STE 213
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-7982
Country	:	US
Telephone Number	:	214-394-0128
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 BEECH AVE STE 213
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-4891
Country	:	US
Telephone Number	:	214-394-0128
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANN MARIE RIVERA
Credential	:	L.AC., LOTA
Telephone Number	:	214-394-0128

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	03/17/2018

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