Provider Demographics
NPI:1831469634
Name:ADAMS, SHEH (LAC)
Entity Type:Individual
Prefix:MRS
First Name:SHEH
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 HIGHWAY 304
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3285
Mailing Address - Country:US
Mailing Address - Phone:832-382-0250
Mailing Address - Fax:877-667-3731
Practice Address - Street 1:277 HIGHWAY 304
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3285
Practice Address - Country:US
Practice Address - Phone:832-382-0250
Practice Address - Fax:877-667-3731
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1306171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist