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Georgetown Acupuncture And Herbs

Clinic/Center in Georgetown, TX. Organization (NPI-2).

NPI number1447586946
StatusActive
Last updated in NPPESOct 19, 2009

Details

NPI
1447586946
Entity type
Organization (NPI-2)
Legal business name
Georgetown Acupuncture And Herbs
Organization subpart
No
Enumeration date
Oct 19, 2009
Last updated
Oct 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterAC00922TXYes

Practice location

1915 S Austin Ave
Suite 102
Georgetown, TX 78626-7843

Phone 512-868-2757

Mailing address

1915 S Austin Ave
Suite 102
Georgetown, TX 78626-7843

Authorized official

Kenichi Nishiya
Member
5128682757

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