| Provider / Organization | NPI | Date Certified |
|---|---|---|
| XIAOTIAN SHEN | 1114053675 | 2024-07-07 |
Xiaotian Shen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114053675. Registration indicates Xiaotian Shen is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers) (Other Service Providers, Acupuncturist) (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Xiaotian Shen L.AC |
| Practice Office Address | 11651 JOLLYVILLE RD STE 150 AUSTIN, TX US |
| Practice Office Telephone | 5123313866 |
| Mailing Address | 11651 JOLLYVILLE RD STE 150 AUSTIN, TX 787594106 US |
| Business Telephone | 5123313866 |
| Code | Practice | License No State |
|---|---|---|
| 171100000X | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | 00497
TX |
| 171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | AC00497
TX |