Provider Demographics
NPI:1033957899
Name:DR TAI ACUPUNCTURE
Entity type:Organization
Organization Name:DR TAI ACUPUNCTURE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CHIHYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:251-209-8836
Mailing Address - Street 1:8948 JEWEL FLOWER DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-2153
Mailing Address - Country:US
Mailing Address - Phone:251-209-8836
Mailing Address - Fax:
Practice Address - Street 1:4811 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4694
Practice Address - Country:US
Practice Address - Phone:251-209-8836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR TAI HEALTH PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty