Provider Demographics
NPI:1114274479
Name:BEE CAVE ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:BEE CAVE ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:CARMEN
Authorized Official - Last Name:JUNCO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, L AC
Authorized Official - Phone:512-263-4099
Mailing Address - Street 1:11719 BEE CAVES RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5539
Mailing Address - Country:US
Mailing Address - Phone:512-263-4099
Mailing Address - Fax:512-263-4065
Practice Address - Street 1:11719 BEE CAVES RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-5539
Practice Address - Country:US
Practice Address - Phone:512-263-4099
Practice Address - Fax:512-263-4065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01356171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty