| NPI | 1992282354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KYUNGHO LEE Owner 469-796-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01598) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1252615) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |