Provider Demographics
NPI:1912216342
Name:ACTUAL ACUPUNCTURE AND CHINESE MEDICINE
Entity Type:Organization
Organization Name:ACTUAL ACUPUNCTURE AND CHINESE MEDICINE
Other - Org Name:AACM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUILI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:PH D MD(CHINA)
Authorized Official - Phone:512-707-1022
Mailing Address - Street 1:10304 GRIZZLY OAK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-3977
Mailing Address - Country:US
Mailing Address - Phone:512-657-8117
Mailing Address - Fax:
Practice Address - Street 1:4029 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:SUITE 105
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7927
Practice Address - Country:US
Practice Address - Phone:512-707-1022
Practice Address - Fax:512-707-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00587171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty