Provider Demographics
NPI:1477097764
Name:HERBAN AUSTIN, LLC
Entity Type:Organization
Organization Name:HERBAN AUSTIN, LLC
Other - Org Name:HERBAN FAMILY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:FINKELSTEIN
Authorized Official - Suffix:I
Authorized Official - Credentials:LAC, DOM, RH(AHG)
Authorized Official - Phone:330-979-9403
Mailing Address - Street 1:1109 ALTUM ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-3034
Mailing Address - Country:US
Mailing Address - Phone:512-900-5969
Mailing Address - Fax:
Practice Address - Street 1:2415 W PECAN ST
Practice Address - Street 2:SUITE #201
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3669
Practice Address - Country:US
Practice Address - Phone:512-900-5969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX#AC01694171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty