Green Crescent Herbs & Acupuncture Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00653 Issued in TX

Legal business name

GREEN CRESCENT HERBS & ACUPUNCTURE CLINIC

Practice address

13520 T I Blvd
Suite 110
Dallas, TX 75243-1420

Phone

(214) 718-7646

Fax

(972) 671-1158

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Saiyad Salahuddin Ahmad, L.AC.

Title

Clinic Director

Phone

(214) 718-7646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1619159258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 T I BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431420",
            "telephone_number": "214-718-7646",
            "fax_number": "972-671-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 T I BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431420",
            "telephone_number": "214-718-7646",
            "fax_number": "972-671-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CRESCENT HERBS & ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAIYAD",
        "authorized_official_middle_name": "SALAHUDDIN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "214-718-7646",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.