Provider Demographics
NPI:1790442499
Name:AUSTIN QUAN YIN CENTER PLLC
Entity Type:Organization
Organization Name:AUSTIN QUAN YIN CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:512-374-9800
Mailing Address - Street 1:5609 ADAMS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1133
Mailing Address - Country:US
Mailing Address - Phone:512-374-9800
Mailing Address - Fax:
Practice Address - Street 1:5609 ADAMS AVE STE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1133
Practice Address - Country:US
Practice Address - Phone:512-374-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty