MEDICARE: MEMORIAL ACUPUNCTURE AND PAIN MANANGEMENT CLINIC

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	AC00044	TX

General Provider Information

NPI Number	:	1982835997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMORIAL ACUPUNCTURE AND PAIN MANANGEMENT CLINIC

Provider Business Mailing Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1696
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1696
Country	:	US
Telephone Number	:	281-537-6699
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAIXUN LIU
Credential	:
Telephone Number	:	281-537-6699

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	08/07/2009

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Directions to “MEMORIAL ACUPUNCTURE AND PAIN MANANGEMENT CLINIC ” Practice Location

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