Provider Demographics
NPI:1326637554
Name:LIN, QIAO
Entity Type:Individual
Prefix:
First Name:QIAO
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4899 HIGHWAY 6 STE 201C
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2173
Mailing Address - Country:US
Mailing Address - Phone:281-302-6902
Mailing Address - Fax:281-302-6922
Practice Address - Street 1:4899 HIGHWAY 6 STE 201C
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2173
Practice Address - Country:US
Practice Address - Phone:281-302-6902
Practice Address - Fax:281-302-6922
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01891171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist