Provider Demographics
NPI:1629300090
Name:AKASHI, TOMOYA (LAC)
Entity Type:Individual
Prefix:
First Name:TOMOYA
Middle Name:
Last Name:AKASHI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 W PIONEER DR STE 214
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-7132
Mailing Address - Country:US
Mailing Address - Phone:469-276-7000
Mailing Address - Fax:
Practice Address - Street 1:1425 W PIONEER DR STE 214
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7132
Practice Address - Country:US
Practice Address - Phone:469-276-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01043171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist