1982793501 NPI number — WEISHAN KUO MASTER OF ACUPUNCTUR

Table of content: WEISHAN KUO MASTER OF ACUPUNCTUR (NPI 1982793501)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982793501 NPI number — WEISHAN KUO MASTER OF ACUPUNCTUR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUO
Provider First Name:
WEISHAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MASTER OF ACUPUNCTUR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982793501
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15204 ROSEHIP LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PFLUGERVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78660-3096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-638-2168
Provider Business Mailing Address Fax Number:
512-244-7888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1930 RAWHIDE DR
Provider Second Line Business Practice Location Address:
STE 402
Provider Business Practice Location Address City Name:
ROUND ROCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78681-6953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-244-7888
Provider Business Practice Location Address Fax Number:
512-244-7888
Provider Enumeration Date:
10/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  LAC00824 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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