Provider Demographics
NPI:1093040842
Name:NA NOOM ACUPUNCTURE CLINICS
Entity Type:Organization
Organization Name:NA NOOM ACUPUNCTURE CLINICS
Other - Org Name:VALLEY RANCH ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-FOUNDER, LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:972-444-0660
Mailing Address - Street 1:8350 N MACARTHUR BLVD
Mailing Address - Street 2:177
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4318
Mailing Address - Country:US
Mailing Address - Phone:972-444-0660
Mailing Address - Fax:972-444-0660
Practice Address - Street 1:8350 N MACARTHUR BLVD
Practice Address - Street 2:177
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4318
Practice Address - Country:US
Practice Address - Phone:972-444-0660
Practice Address - Fax:972-444-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center