Provider Demographics
NPI:1346351723
Name:HWA TOW TRADITIONAL CHINESE MEDICAL CLINIC
Entity Type:Organization
Organization Name:HWA TOW TRADITIONAL CHINESE MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:TSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-261-9919
Mailing Address - Street 1:2008 S COOPER ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013
Mailing Address - Country:US
Mailing Address - Phone:817-261-9919
Mailing Address - Fax:817-860-0736
Practice Address - Street 1:2008 S COOPER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013
Practice Address - Country:US
Practice Address - Phone:817-261-9919
Practice Address - Fax:817-860-0736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00144171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8M8374OtherBCBS
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