Provider Demographics
NPI:1346787306
Name:WOODLANDS ACUPUNCTURE & HERBAL CLINIC
Entity Type:Organization
Organization Name:WOODLANDS ACUPUNCTURE & HERBAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARDENA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-377-1832
Mailing Address - Street 1:4545 RESEARCH FOREST DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4200
Mailing Address - Country:US
Mailing Address - Phone:713-377-1832
Mailing Address - Fax:281-617-4225
Practice Address - Street 1:4545 RESEARCH FOREST DR
Practice Address - Street 2:SUITE C
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4200
Practice Address - Country:US
Practice Address - Phone:713-377-1832
Practice Address - Fax:281-617-4225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty