Provider Demographics
NPI:1629564646
Name:KATY ACUPUNCTURE AND HERBAL CARE PLLC
Entity Type:Organization
Organization Name:KATY ACUPUNCTURE AND HERBAL CARE PLLC
Other - Org Name:KATY ACUPUNCTURE AND HERBAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TASNEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DOAM
Authorized Official - Phone:281-789-8970
Mailing Address - Street 1:1822 SNAKE RIVER RD STE E
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7749
Mailing Address - Country:US
Mailing Address - Phone:281-789-8970
Mailing Address - Fax:
Practice Address - Street 1:1822 SNAKE RIVER RD STE E
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7749
Practice Address - Country:US
Practice Address - Phone:281-789-8970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty