Provider Demographics
NPI:1508034505
Name:WU, QIAH ZHI (LAC)
Entity Type:Individual
Prefix:
First Name:QIAH ZHI
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11651 JOLLYVILLE RD
Mailing Address - Street 2:# 150
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3931
Mailing Address - Country:US
Mailing Address - Phone:512-331-3866
Mailing Address - Fax:
Practice Address - Street 1:2700 W ANDERSON LN
Practice Address - Street 2:#204
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1159
Practice Address - Country:US
Practice Address - Phone:512-467-0370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00320171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist