Provider Demographics
NPI:1972381804
Name:TEXAS ACUPUNCTURE RESEARCH INSTITUTE
Entity type:Organization
Organization Name:TEXAS ACUPUNCTURE RESEARCH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:MANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:469-733-3677
Mailing Address - Street 1:1651 N COLLINS BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3658
Mailing Address - Country:US
Mailing Address - Phone:469-733-3677
Mailing Address - Fax:
Practice Address - Street 1:1651 N COLLINS BLVD STE 130
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3658
Practice Address - Country:US
Practice Address - Phone:469-733-3677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty