Provider Demographics
NPI:1215366034
Name:ZHONG, YOUMIN (LAC)
Entity Type:Individual
Prefix:MR
First Name:YOUMIN
Middle Name:
Last Name:ZHONG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8043 CYPRESS PASS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2619
Mailing Address - Country:US
Mailing Address - Phone:210-649-0547
Mailing Address - Fax:
Practice Address - Street 1:6387 BABCOCK RD
Practice Address - Street 2:SUITE #3
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2536
Practice Address - Country:US
Practice Address - Phone:210-649-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist