Provider Demographics
NPI:1295451623
Name:ANNLEE TCM CLINIC, LLC
Entity type:Organization
Organization Name:ANNLEE TCM CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QIAN
Authorized Official - Middle Name:SUN
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:AC
Authorized Official - Phone:713-858-2618
Mailing Address - Street 1:4220 CARTWRIGHT RD STE 803
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5313
Mailing Address - Country:US
Mailing Address - Phone:713-955-8826
Mailing Address - Fax:
Practice Address - Street 1:4220 CARTWRIGHT RD STE 803
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5313
Practice Address - Country:US
Practice Address - Phone:713-955-8826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty