Provider Demographics
NPI:1437515178
Name:TING, WEN CHUN (L AC)
Entity Type:Individual
Prefix:MR
First Name:WEN CHUN
Middle Name:
Last Name:TING
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6006 N MESA ST
Mailing Address - Street 2:SUITE 606
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4659
Mailing Address - Country:US
Mailing Address - Phone:915-777-0019
Mailing Address - Fax:
Practice Address - Street 1:6006 N MESA ST
Practice Address - Street 2:SUITE 606
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4659
Practice Address - Country:US
Practice Address - Phone:915-777-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01668171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist