Provider Demographics
NPI:1689992026
Name:HEALING HARMONY ACUPUNCTURE & PAIN CARE CENTER
Entity Type:Organization
Organization Name:HEALING HARMONY ACUPUNCTURE & PAIN CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TALITHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:832-563-9819
Mailing Address - Street 1:19200 SPACE CENTER BLVD
Mailing Address - Street 2:PHASE 1, #713
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3736
Mailing Address - Country:US
Mailing Address - Phone:832-563-9819
Mailing Address - Fax:
Practice Address - Street 1:1322 SPACE PARK DR
Practice Address - Street 2:SUITE C185
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3400
Practice Address - Country:US
Practice Address - Phone:832-563-9819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01142302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization