Provider Demographics
NPI:1912473323
Name:XU, WENSI (MSAC/ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:WENSI
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:MSAC/ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24723 CATALAN CLIFF
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261
Mailing Address - Country:US
Mailing Address - Phone:225-636-1899
Mailing Address - Fax:
Practice Address - Street 1:1923 LOCKHILL SELMA RD STE 114
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1575
Practice Address - Country:US
Practice Address - Phone:210-733-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX775146163W00000X
TXAC01707171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse