Provider Demographics
NPI:1235893652
Name:LIGHTHILL ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:LIGHTHILL ACUPUNCTURE LLC
Other - Org Name:LIGHTHILL ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MINGHUEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, L AC
Authorized Official - Phone:817-201-7418
Mailing Address - Street 1:2700 TIBBETS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5938
Mailing Address - Country:US
Mailing Address - Phone:817-873-8963
Mailing Address - Fax:
Practice Address - Street 1:2700 TIBBETS DR STE 300
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5938
Practice Address - Country:US
Practice Address - Phone:817-873-8963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty