Provider Demographics
NPI:1598195786
Name:ZHANG, LI (LIC AC)
Entity Type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 BEE CAVES RD
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5385
Mailing Address - Country:US
Mailing Address - Phone:512-306-0535
Mailing Address - Fax:512-306-1721
Practice Address - Street 1:3701 BEE CAVES RD
Practice Address - Street 2:SUITE # 102
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5385
Practice Address - Country:US
Practice Address - Phone:512-306-0535
Practice Address - Fax:512-306-1721
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01330171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist