Provider Demographics
NPI:1164673885
Name:BAMBOO FIELD ACUPUNCTURE & HERB, PLLC
Entity type:Organization
Organization Name:BAMBOO FIELD ACUPUNCTURE & HERB, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:L.AC.
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:UPPENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-431-7997
Mailing Address - Street 1:3006 BEE CAVES RD
Mailing Address - Street 2:SUITE A-290
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5588
Mailing Address - Country:US
Mailing Address - Phone:512-431-7997
Mailing Address - Fax:512-329-6957
Practice Address - Street 1:3006 BEE CAVES RD
Practice Address - Street 2:SUITE A-290
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5588
Practice Address - Country:US
Practice Address - Phone:512-431-7997
Practice Address - Fax:512-329-6957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty