Provider Demographics
NPI:1689773798
Name:CHOU, TAILI (L AC)
Entity Type:Individual
Prefix:
First Name:TAILI
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 AMBER CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1113
Mailing Address - Country:US
Mailing Address - Phone:281-587-0660
Mailing Address - Fax:281-587-0660
Practice Address - Street 1:5629 FM 1960 RD W STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4215
Practice Address - Country:US
Practice Address - Phone:832-875-2367
Practice Address - Fax:281-587-0660
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00904171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist