Provider Demographics
NPI:1972141307
Name:RESTORED HEALTH ACUPUNCTURE
Entity Type:Organization
Organization Name:RESTORED HEALTH ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHENGYI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-346-5136
Mailing Address - Street 1:701 FM 685 STE 120
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2899
Mailing Address - Country:US
Mailing Address - Phone:737-300-7176
Mailing Address - Fax:
Practice Address - Street 1:701 FM 685 STE 120
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2899
Practice Address - Country:US
Practice Address - Phone:737-300-7176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center