Provider Demographics
NPI:1285763649
Name:EYRING, THOMAS ALLAN (LAC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:ALLAN
Last Name:EYRING
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 E ARENAS RD STE 2
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7161
Mailing Address - Country:US
Mailing Address - Phone:760-904-6034
Mailing Address - Fax:
Practice Address - Street 1:1750 E ARENAS RD STE 2
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7161
Practice Address - Country:US
Practice Address - Phone:760-327-8726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3282171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist