Provider Demographics
NPI:1467830232
Name:HAO, MENGCHEN (MSAOM)
Entity Type:Individual
Prefix:
First Name:MENGCHEN
Middle Name:
Last Name:HAO
Suffix:
Gender:M
Credentials:MSAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3691
Mailing Address - Country:US
Mailing Address - Phone:214-609-3421
Mailing Address - Fax:
Practice Address - Street 1:3636 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 185
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3691
Practice Address - Country:US
Practice Address - Phone:214-609-3421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01605171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist