Provider Demographics
NPI:1417408824
Name:TEMPLE ACUPUNCTURE & WELLNESS LTD LLP
Entity Type:Organization
Organization Name:TEMPLE ACUPUNCTURE & WELLNESS LTD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATEESCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-627-0439
Mailing Address - Street 1:3602 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5100 MIDWAY DR STE 102
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1471
Practice Address - Country:US
Practice Address - Phone:254-627-0439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01170171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty