Tdeth 1,llc

NPI #1144836172 in Austin, Texas

Provider Information

NPI Number: 1144836172
Entity Type: Organization
Organization Name: Tdeth 1,llc
Primary Specialty: Acupuncturist
Enumeration Date: Sep 16, 2020
Last Updated: Jan 14, 2021

Practice Location

Address: 9722 GREAT HILLS TRL STE 125
City: Austin
State: Texas
ZIP Code: 78759-7265
Phone: (512) 239-8223

Authorized Official

Name: TOM ETHEREDGE
Title: FRANCHISE OWNER
Phone: (512) 599-4506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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