Provider Demographics
NPI:1093044232
Name:AUSTIN HEALING HERBS & ACUPUNCTURE
Entity Type:Organization
Organization Name:AUSTIN HEALING HERBS & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:727-437-2250
Mailing Address - Street 1:1213 RIDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2544
Mailing Address - Country:US
Mailing Address - Phone:727-437-2250
Mailing Address - Fax:
Practice Address - Street 1:911 E 2ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-4212
Practice Address - Country:US
Practice Address - Phone:727-437-2250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC000936171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty