Evergreen Acupuncture

NPI #1144526658 in Austin, Texas

Provider Information

NPI Number: 1144526658
Entity Type: Organization
Organization Name: Evergreen Acupuncture
Primary Specialty: Acupuncturist
Enumeration Date: Jan 31, 2011
Last Updated: Jan 31, 2011

Practice Location

Address: 3004 MEDICAL ARTS ST
City: Austin
State: Texas
ZIP Code: 78705-3305
Phone: (512) 300-4047

Authorized Official

Name: CONNIE QUEZADA, L.AC.
Title: OWNER
Phone: (512) 300-4047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Acupuncturist	171100000X	Primary

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