Provider Demographics
NPI:1639592454
Name:ARSOVA ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:ARSOVA ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSOVA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC , DOM
Authorized Official - Phone:214-730-0419
Mailing Address - Street 1:2011 N COLLINS BLVD
Mailing Address - Street 2:SUITE 603
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2645
Mailing Address - Country:US
Mailing Address - Phone:214-730-0419
Mailing Address - Fax:
Practice Address - Street 1:2011 N COLLINS BLVD
Practice Address - Street 2:SUITE 603
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2645
Practice Address - Country:US
Practice Address - Phone:214-730-0419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty