Evergreen TCM, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00630 Issued in TX

Legal business name

EVERGREEN TCM, INC

Practice address

209 Bedford Rd Ste 160
Bedford, TX 76022-6200

Phone

(817) 590-8188

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Winnie Y AuNPI 1093723124

Title

President

Phone

(817) 590-8188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Winnie Au Acupuncture Center 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.

• Winnie Y. Au, L.AC., DIPL. AC.

  • Acupuncturist
  • Bedford, TX
  • NPI 1093723124
  NPD (past) Authorized official

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1245499359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BEDFORD RD STE 160",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BEDFORD RD STE 160",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226200",
            "telephone_number": "817-590-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN TCM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-590-8188"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "0019LQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winnie Au Acupuncture Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Natalie Eteaki, PTA
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• Ariba Faheem

• Acupuncturist in Bedford, TX
• Providers in Bedford, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.