Provider Demographics
NPI:1548581507
Name:RANDY ZHANG, L.AC., PLLC
Entity Type:Organization
Organization Name:RANDY ZHANG, L.AC., PLLC
Other - Org Name:ACUPUNCTURE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:903-757-0620
Mailing Address - Street 1:1800 N EASTMAN RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-3375
Mailing Address - Country:US
Mailing Address - Phone:903-757-0620
Mailing Address - Fax:903-753-7196
Practice Address - Street 1:1800 N EASTMAN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-3375
Practice Address - Country:US
Practice Address - Phone:903-757-0620
Practice Address - Fax:903-753-7196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00132171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty