Provider Demographics
NPI:1518618271
Name:EAST, STEVEN JR (LAC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:EAST
Suffix:JR
Gender:M
Credentials:LAC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6618 SITIO DEL RIO BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1143
Mailing Address - Country:US
Mailing Address - Phone:512-545-0107
Mailing Address - Fax:
Practice Address - Street 1:6618 SITIO DEL RIO BLVD STE D103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1148
Practice Address - Country:US
Practice Address - Phone:512-545-0107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist