Provider Demographics
NPI:1083805170
Name:HUANGDI ACUPUNCTURE AND HERBAL CLINIC
Entity Type:Organization
Organization Name:HUANGDI ACUPUNCTURE AND HERBAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L. AC
Authorized Official - Prefix:
Authorized Official - First Name:ANNEES
Authorized Official - Middle Name:
Authorized Official - Last Name:GURMANI
Authorized Official - Suffix:
Authorized Official - Credentials:LIC ACUPUNCTURIST
Authorized Official - Phone:281-684-9127
Mailing Address - Street 1:19118 MILLOAK DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4004
Mailing Address - Country:US
Mailing Address - Phone:281-684-9127
Mailing Address - Fax:
Practice Address - Street 1:3056 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5124
Practice Address - Country:US
Practice Address - Phone:281-684-9127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00892171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty