Organization Active NPI

Eastern Balance Oriental Medicine LLC

  • Acupuncturist
  • Houston, TX
National Provider Identifier
1366795676
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00748 Issued in TX
Legal business name
EASTERN BALANCE ORIENTAL MEDICINE LLC
Practice address
2539 S Gessner Rd
Suite 15
Houston, TX 77063-2034
Phone
(713) 922-8179
Fax
(832) 843-0317
NPI assigned
Oct 24, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. Ellen Gong
Title
Owner
Phone
(713) 922-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00748 TX Primary

Addresses

Primary practice location

2539 S Gessner Rd
Suite 15
Houston, TX 77063-2034

Mailing address

2539 S Gessner Rd
Suite 15
Houston, TX 77063-2034
Phone (713) 922-8179

National Provider Directory

National Provider Directory

Locations

2539 S Gessner Rd
Ste 15
Houston, TX 77063
Phone (713) 922-8179

Practitioners & affiliated clinicians

Practitioners 3

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": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1366795676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 S GESSNER RD",
            "address_2": "SUITE 15",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632034",
            "telephone_number": "713-922-8179",
            "fax_number": "832-843-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 S GESSNER RD",
            "address_2": "SUITE 15",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632034",
            "telephone_number": "713-922-8179",
            "fax_number": "832-843-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN BALANCE ORIENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-922-8179",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.