Provider Demographics
NPI:1841902152
Name:MAGIC TCM
Entity type:Organization
Organization Name:MAGIC TCM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:210-214-0729
Mailing Address - Street 1:18756 STONE OAK PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4354
Mailing Address - Country:US
Mailing Address - Phone:210-214-0729
Mailing Address - Fax:
Practice Address - Street 1:18756 STONE OAK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4354
Practice Address - Country:US
Practice Address - Phone:210-214-0729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAC01760OtherACUPUNCTURE