Blue Heron Center Incorporated

NPI #1083625867 in Austin, Texas

Provider Information

NPI Number: 1083625867
Entity Type: Organization
Organization Name: Blue Heron Center Incorporated
Primary Specialty: Acupuncturist
Enumeration Date: Aug 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 15204 GEBRON DR
City: Austin
State: Texas
ZIP Code: 78734-6306
Phone: (512) 266-2059

Authorized Official

Name: GAYL HUBATCH, OMD
Title: PRESIDENT
Phone: (512) 266-2059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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