TDETH 1,LLC (NPI# 1144836172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144836172 |
| Entity Type | Organization |
| Organization Name | TDETH 1,LLC |
| Practice Address |
9722 Great Hills Trl Ste 125 Austin TX 78759-7265 |
| Mailing Address |
7905 Griffin Ct Austin TX 78731-1910 |
| Practice Telephone | 5122398223 |
| Mailing Telephone | 5125994506 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | TOM ETHEREDGE (FRANCHISE OWNER) |
| Authorized Official Telephone | 5125994506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Modern Acupuncture | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Bee Caves Rd Ste 160, West Lake Hills, TX 787466662 | 5129803915 |
| Street Address |
9722 GREAT HILLS TRL STE 125 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-7265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437266 | Whitney Diane Cauley | Acupuncturist | 3006 Bee Caves Rd Ste A213, Austin, TX 78746-5651 | 2020-11-05 |
| 1871191163 | Kazuko Devirgilio | Acupuncturist | 10601 Pecan Park Blvd Ste 302, Austin, TX 78750-1448 | 2020-10-09 |
| 1568076834 | Lisa Allen | Acupuncturist | 4131 Spicewood Springs Road, St O-2, Austin, TX 78759-7875 | 2020-09-03 |
| 1366054025 | David Russ Irvin | Acupuncturist | 7703 Copano Dr, Austin, TX 78749-3810 | 2020-08-23 |
| 1861010225 | Emily Tennison | Acupuncturist | 420 Beardsley Ln, Austin, TX 78746-4922 | 2020-07-11 |
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1386267102 | Jazmine Collins | Acupuncturist | 8700 Menchaca Rd Ste 705, Austin, TX 78748-5378 | 2020-05-27 |
| 1407482359 | Grace & Young Acupuncture Pllc | Acupuncturist | 12411 Hymeadow Dr Ste 3d, Austin, TX 78750-1829 | 2020-03-22 |
| 1104457696 | Lindsey Wilder Flatt | Acupuncturist | 5609 Adams Ave Ste B, Austin, TX 78756-1133 | 2020-02-03 |
| 1417587742 | Kathleen Kealy Duffy | Acupuncturist | 1209 Chicon St, Austin, TX 78702-2113 | 2020-01-26 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.