Tao Blossom PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01800 Issued in TX

Legal business name

TAO BLOSSOM PLLC

Practice address

1001 S Capital of Texas Hwy Ste 210
West Lake Hills, TX 78746-6450

Phone

(804) 363-7559

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Devon Gray, M.AC., DIPL.OM, L.ACNPI 1053770354

Title

Owner, Licensed Acupuncturist

Phone

(512) 577-9802

Specialties & licenses 1

Addresses

Other names 1

• TAO BLOSSOM Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devon Gray, L.AC.

  • Acupuncturist
  • West Lake Hills, TX
  • NPI 1053770354
  NPD (past) Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1174020853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S CAPITAL OF TEXAS HWY STE 210",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466450",
            "telephone_number": "804-363-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S CAPITAL OF TEXAS HWY STE 210",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466450",
            "telephone_number": "804-363-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAO BLOSSOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "512-577-9802",
        "authorized_official_credential": "M.AC., DIPL.OM, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAO BLOSSOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick J. Swint, MS, PA-C
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• Acupuncturist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.