Provider Demographics
NPI:1659079473
Name:ICARE ACUPUNCTURE
Entity Type:Organization
Organization Name:ICARE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAW JINN
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAUR
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:469-424-4195
Mailing Address - Street 1:4425 PLANO PKWY STE 1501
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-5037
Mailing Address - Country:US
Mailing Address - Phone:469-892-6328
Mailing Address - Fax:
Practice Address - Street 1:4425 PLANO PKWY STE 1501
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-5037
Practice Address - Country:US
Practice Address - Phone:469-892-6328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty