Provider Demographics
NPI:1295099778
Name:JUNCO, ALEJANDRA CARMEN (BS LAC)
Entity type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:CARMEN
Last Name:JUNCO
Suffix:
Gender:F
Credentials:BS LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11719 BEE CAVES RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5539
Mailing Address - Country:US
Mailing Address - Phone:512-263-4099
Mailing Address - Fax:512-263-4065
Practice Address - Street 1:11719 BEE CAVES RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-5539
Practice Address - Country:US
Practice Address - Phone:512-263-4099
Practice Address - Fax:512-263-4065
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01356171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist