Provider Demographics
NPI:1518613249
Name:EVERHEALTH ACUPUNCTURE & HERBS WELLNESS. LLC.
Entity Type:Organization
Organization Name:EVERHEALTH ACUPUNCTURE & HERBS WELLNESS. LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RONGMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:945-217-3168
Mailing Address - Street 1:801 RED FOX
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-5100
Mailing Address - Country:US
Mailing Address - Phone:945-217-3168
Mailing Address - Fax:
Practice Address - Street 1:425 MAPLELAWN DR STE 101
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5748
Practice Address - Country:US
Practice Address - Phone:945-217-3170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center