Provider Demographics
NPI:1487822821
Name:BALANCE ACUPUNCTURE AND HERBS
Entity Type:Organization
Organization Name:BALANCE ACUPUNCTURE AND HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOT
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:210-479-3900
Mailing Address - Street 1:14855 BLANCO RD STE 304
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7730
Mailing Address - Country:US
Mailing Address - Phone:210-479-3900
Mailing Address - Fax:210-479-3906
Practice Address - Street 1:14855 BLANCO RD STE 304
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7730
Practice Address - Country:US
Practice Address - Phone:210-479-3900
Practice Address - Fax:210-479-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty