Provider Demographics
NPI:1619207453
Name:AOMA ACADEMY LLP
Entity Type:Organization
Organization Name:AOMA ACADEMY LLP
Other - Org Name:THE ACADEMY OF ORIENTAL MEDICINE AT AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-467-0370
Mailing Address - Street 1:2700 W ANDERSON LN STE 512
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1359
Mailing Address - Country:US
Mailing Address - Phone:512-467-0370
Mailing Address - Fax:
Practice Address - Street 1:2700 W ANDERSON LN STE 512
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1359
Practice Address - Country:US
Practice Address - Phone:512-467-0370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX443171100000X
TX1009171100000X
TX678171100000X
TX568171100000X
TX320171100000X
TX441171100000X
TX950171100000X
TX497171100000X
TX663171100000X
TX758171100000X
TX352171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty