Acupuncture Wellness Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00751 Issued in TX

Legal business name

ACUPUNCTURE WELLNESS CENTER

Practice address

1424 Brown TRL
Suite B
Bedford, TX 76022-6499

Phone

(817) 285-0622

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pam Durham, LAC

Title

Acupuncturist

Phone

(817) 285-0622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Pamela Durham, LAC

  • Acupuncturist
  • Bedford, TX
  • NPI 1275756066
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1801073622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 BROWN TRL",
            "address_2": "SUITE B",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226499",
            "telephone_number": "817-285-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 BROWN TRL",
            "address_2": "SUITE B",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226499",
            "telephone_number": "817-285-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "817-285-0622",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 23, 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.