Provider Demographics
NPI:1508937178
Name:DR ERIC ZHAOS ACUPUNCTURE & HERBAL CLINIC
Entity Type:Organization
Organization Name:DR ERIC ZHAOS ACUPUNCTURE & HERBAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOM PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YU
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-881-5299
Mailing Address - Street 1:3737 EUBANK NE
Mailing Address - Street 2:PO BOX 92786
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111
Mailing Address - Country:US
Mailing Address - Phone:505-881-5299
Mailing Address - Fax:505-881-5231
Practice Address - Street 1:3737 EUBANK NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111
Practice Address - Country:US
Practice Address - Phone:505-889-5299
Practice Address - Fax:505-881-5231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM556 672171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty