Provider Demographics
NPI:1508316456
Name:FARLIFE LLC
Entity Type:Organization
Organization Name:FARLIFE LLC
Other - Org Name:MOTHER MOON ACUPUNCTURE AND HERB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIA HUI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-937-3999
Mailing Address - Street 1:13740 N HIGHWAY 183 STE E4
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1821
Mailing Address - Country:US
Mailing Address - Phone:512-937-3999
Mailing Address - Fax:512-233-0068
Practice Address - Street 1:13740 N HIGHWAY 183 STE E4
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1821
Practice Address - Country:US
Practice Address - Phone:512-937-3999
Practice Address - Fax:512-233-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1669983565OtherACUPUNCTURE
TX1245696269OtherACUPUNCTURE
TX1346631710OtherACUPUNCTURE
TX1164063392OtherACUPUNCTURE
TX1669983565OtherACUPUNCTURE