Provider Demographics
NPI:1144587809
Name:THAI INSTITUTE OF HEALING ARTS, LLC
Entity Type:Organization
Organization Name:THAI INSTITUTE OF HEALING ARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYLANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-522-8424
Mailing Address - Street 1:1211 N GLEBE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-4800
Mailing Address - Country:US
Mailing Address - Phone:703-522-8424
Mailing Address - Fax:
Practice Address - Street 1:1211 N GLEBE RD STE 2
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-4800
Practice Address - Country:US
Practice Address - Phone:703-522-8424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty