Provider Demographics
NPI:1598424178
Name:XU'S ACUPUNCTURE AND WELLNESS CLINIC, LLC
Entity Type:Organization
Organization Name:XU'S ACUPUNCTURE AND WELLNESS CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-643-8856
Mailing Address - Street 1:3 IVY LEAF CT
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4112
Mailing Address - Country:US
Mailing Address - Phone:240-643-8856
Mailing Address - Fax:
Practice Address - Street 1:3 IVY LEAF CT
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-4112
Practice Address - Country:US
Practice Address - Phone:240-643-8856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty