Provider Demographics
NPI:1629470877
Name:HEO, EUN
Entity Type:Individual
Prefix:
First Name:EUN
Middle Name:
Last Name:HEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17440 FM 529 RD
Mailing Address - Street 2:107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1167
Mailing Address - Country:US
Mailing Address - Phone:281-463-6699
Mailing Address - Fax:
Practice Address - Street 1:17440 FM 529 RD
Practice Address - Street 2:107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1167
Practice Address - Country:US
Practice Address - Phone:281-463-6699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01535171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist