Organization Active NPI

Professional Acupuncture Clinic PLLC

  • Acupuncturist
  • League City, TX
National Provider Identifier
1720565666
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01592 Issued in TX
Legal business name
PROFESSIONAL ACUPUNCTURE CLINIC PLLC
Practice address
1101 W Main St Ste C
League City, TX 77573-2039
Phone
(832) 770-0686
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Ms. Xiaoying Yuan, L. AC. M.AOMNPI 1720479140
Title
Owner
Phone
(832) 770-0686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC01592 TX Primary

Addresses

Primary practice location

1101 W Main St Ste C
League City, TX 77573-2039

Mailing address

4214 S Pine Brook CV
Houston, TX 77059-3261
Phone (832) 770-0686

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1720565666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 S PINE BROOK CV",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593261",
            "telephone_number": "832-770-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MAIN ST STE C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732039",
            "telephone_number": "832-770-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ACUPUNCTURE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "XIAOYING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-770-0686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L. AC.  M.AOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

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