Provider Demographics
NPI:1629511845
Name:WOODLANDS ACUPUNCTURE & HERB CLINIC
Entity Type:Organization
Organization Name:WOODLANDS ACUPUNCTURE & HERB CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:XU
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-648-9929
Mailing Address - Street 1:4545 RESEARCH FOREST DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4200
Mailing Address - Country:US
Mailing Address - Phone:713-377-1832
Mailing Address - Fax:
Practice Address - Street 1:4545 RESEARCH FOREST DR
Practice Address - Street 2:SUITE C
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4200
Practice Address - Country:US
Practice Address - Phone:713-377-1832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-19
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC001729171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty