Provider Demographics
NPI:1902284243
Name:AMR INTEGRATIVE ACUPUNCTURE & ORIENTAL MEDICINE
Entity type:Organization
Organization Name:AMR INTEGRATIVE ACUPUNCTURE & ORIENTAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LOTA
Authorized Official - Phone:214-394-0128
Mailing Address - Street 1:214 N 16TH ST STE 213
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7982
Mailing Address - Country:US
Mailing Address - Phone:214-394-0128
Mailing Address - Fax:
Practice Address - Street 1:1516 BEECH AVE STE 213
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4891
Practice Address - Country:US
Practice Address - Phone:214-394-0128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01553261Q00000X, 261QH0100X
TXC01553171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service