ABALONE ACUPUNCTURE OF AUSTIN
Ambulatory Health at Saint Elmo Rd, Austin, TX

License number
Texas AC01480
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. SLADE LANDRY MANES LAC,MSOM,LMT,CMT
Title: ACUPUNCTURIST, MASSAGE THERAPIST
Phone: (512) 203-1816
Address
Address 2
802 W Saint Elmo Rd, Austin, TX 78745
17909 Linkview Dr, Mount Sharp, TX 78620
National Provider ID: 1679946339
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ABALONE ACUPUNCTURE OF AUSTIN, PLLC

Austin, TX

Registration:
Feb 27, 2013
Addresses:
2305B Western Trl Blvd, Austin, TX 78745 (Mailing)
2305 Western Trl Blvd, Austin, TX 78745
State ID:
0801741321
Business type:
Domestic Limited Liability Company (LLC)
Owner, Director:
Slade Manes (Owner, Director), 2305-B Western Trl Blvd, Austin, TX 78745
Agent:
Slade Landry Manes,2305-B Western Trl Blvd, Austin, TX 78745 (Physical)
TIN:
32050319014

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