| |
413 W Bethel Rd, Suite 202, Coppell, TX 75019-4473 | |
(972) 506-8113 | |
(214) 432-0684 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 413 W Bethel Rd, Coppell, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700113230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AC01118 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
116 Dickens Dr, Coppell, TX 75019-2104 Ph: (512) 586-1738 | 413 W Bethel Rd, Suite 202, Coppell, TX 75019-4473 Ph: (972) 506-8113 |
Denise Edmiston, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 413 W Bethel Rd, Suite 202, Coppell, TX 75019 Phone: 972-506-8113 Fax: 214-432-0684 |