Provider Demographics
NPI:1942302518
Name:LIN, MENG-SHENG (LAC)
Entity Type:Individual
Prefix:DR
First Name:MENG-SHENG
Middle Name:
Last Name:LIN
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 1:2007 N COLLINS BLVD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2658
Mailing Address - Country:US
Mailing Address - Phone:972-644-2608
Mailing Address - Fax:972-644-2608
Practice Address - Street 1:2007 N COLLINS BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2658
Practice Address - Country:US
Practice Address - Phone:972-644-2608
Practice Address - Fax:972-644-2608
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00053171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
752432291OtherTX ID NO.
TX0007LQOtherBC/BS OF TEXAS