772, LLC

NPI #1245881630 in Austin, Texas

Provider Information

NPI Number: 1245881630
Entity Type: Organization
Organization Name: 772, LLC
Primary Specialty: Acupuncturist
Enumeration Date: Sep 26, 2019
Last Updated: Sep 26, 2019

Practice Location

Address: 166 HARGRAVES DR STE E200
City: Austin
State: Texas
ZIP Code: 78737-4836
Phone: (512) 766-4000

Authorized Official

Name: SARIAH D WELCH LOPEZ
Title: OWNER
Phone: (512) 905-5629

Specialties & Taxonomy Codes

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

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