Provider Demographics
NPI:1497105969
Name:CENTERPOINT ORIENTAL MEDICINE, PLLC
Entity Type:Organization
Organization Name:CENTERPOINT ORIENTAL MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING MEMBER/ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPELL
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:512-653-5194
Mailing Address - Street 1:12315 JONES MALTSBERGER RD
Mailing Address - Street 2:#406
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-4281
Mailing Address - Country:US
Mailing Address - Phone:512-653-5194
Mailing Address - Fax:210-855-0462
Practice Address - Street 1:12915 JONES MALTSBERGER RD
Practice Address - Street 2:BUILDING #600
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-4282
Practice Address - Country:US
Practice Address - Phone:512-653-5194
Practice Address - Fax:210-855-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01681171100000X
TXAC01619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty