Provider Demographics
NPI:1558543561
Name:JON, SHIU YEE (LICENSED ACUPUNCTURI)
Entity Type:Individual
Prefix:MS
First Name:SHIU YEE
Middle Name:
Last Name:JON
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURI
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:JON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICENSED ACUPUNCTURI
Mailing Address - Street 1:2109 WEST TEXAS AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701
Mailing Address - Country:US
Mailing Address - Phone:432-683-6533
Mailing Address - Fax:
Practice Address - Street 1:2109 WEST TEXAS AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701
Practice Address - Country:US
Practice Address - Phone:432-683-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC100018171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAC100018OtherACUPUNCTURIST