MEDICARE: BOWON 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

General Provider Information

NPI Number	:	1982049599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOWON LLC

Provider Business Mailing Address
First Line	:	26410 OAK RIDGE DR STE 104
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1965
Country	:	US
Telephone Number	:	281-940-5674
Fax Number	:	832-534-4149

Provider Business Practice Location Address
First Line	:	26410 OAK RIDGE DR STE 104
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1965
Country	:	US
Telephone Number	:	281-940-5674
Fax Number	:	832-534-4149

Authorized Official
Title or Position	:	OWNER OF PRACTICE/ ACUPUNCTURIST
Name	:	DR. JAEMI SUH
Credential	:	DACM, PH.D., L.AC
Telephone Number	:	281-940-5674

Provider Enumeration Date	:	05/08/2013
Last Update Date	:	08/29/2023

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Directions to “BOWON LLC ” Practice Location

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