Provider Demographics
NPI:1790249159
Name:PURE POINT ACUPUNCTURE
Entity Type:Organization
Organization Name:PURE POINT ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:MS
Authorized Official - First Name:WENSI
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:225-636-1899
Mailing Address - Street 1:24723 CATALAN CLF
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2452
Mailing Address - Country:US
Mailing Address - Phone:225-636-1899
Mailing Address - Fax:
Practice Address - Street 1:1923 LOCKHILL SELMA RD STE 114
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1575
Practice Address - Country:US
Practice Address - Phone:210-999-0345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty