Provider Demographics
NPI:1245484229
Name:DALLAS ACUPUNCTURE CLINIC,INC.
Entity type:Organization
Organization Name:DALLAS ACUPUNCTURE CLINIC,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YUNG
Authorized Official - Middle Name:C
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:972-671-6888
Mailing Address - Street 1:600 W CAMPBELL RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3357
Mailing Address - Country:US
Mailing Address - Phone:972-671-6888
Mailing Address - Fax:972-671-6888
Practice Address - Street 1:600 W CAMPBELL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3357
Practice Address - Country:US
Practice Address - Phone:972-671-6888
Practice Address - Fax:972-671-6888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DALLAS ACUPUNCTURE CLINIC,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00058171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty