Organization Active NPI

Texas Health and Science University

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1144862475
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TEXAS HEALTH AND SCIENCE UNIVERSITY
Practice address
1707 Fortview Rd
Austin, TX 78704-7620
Phone
(512) 912-8484
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jue Gong
Title
Clinic Manager
Phone
(504) 919-7353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

1707 Fortview Rd
Austin, TX 78704-7620

Mailing address

4005 Manchaca Rd
Austin, TX 78704-6737
Phone (512) 444-8082

Other practice location 1

9240 Guilbeau Rd Ste 102
San Antonio, TX 78250-3091
Phone (210) 509-8282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irisgong@thsu.edu

National Provider Directory

National Provider Directory

Locations

4005 Menchaca Rd
Austin, TX 78704
Phone (512) 444-8082

9240 Guilbeau Rd
Ste 102
San Antonio, TX 78250
Phone (210) 509-8282

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1144862475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046737",
            "telephone_number": "512-444-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 FORTVIEW RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047620",
            "telephone_number": "512-912-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9240 Guilbeau Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782503091",
            "country_code": "US",
            "telephone_number": "210-509-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS HEALTH AND SCIENCE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "JUE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "504-919-7353"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irisgong@thsu.edu",
            "affiliation": "N",
            "address_1": "4005 Manchaca Rd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787046737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.