| NPI | 1144526658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE QUEZADA Owner 512-300-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01203) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT038682) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |