Provider Demographics
NPI:1346504461
Name:YUAN, LING (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MS
First Name:LING
Middle Name:
Last Name:YUAN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 GOLDEN GATE PARK
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2420
Mailing Address - Country:US
Mailing Address - Phone:512-266-9628
Mailing Address - Fax:
Practice Address - Street 1:930 S BELL BLVD STE 303
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3975
Practice Address - Country:US
Practice Address - Phone:512-239-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist