Cryo Body Shape
LBN: Cryo Body Shape
Cryo Body Shape is an health care organization with primary practice located at 7219 Glen Ellen Bay , San Antonio TX 78244-1757. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Pain, Managed Care Organizations / Preferred Provider Organization. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Cryo Body Shape can be contacted via phone (281) 684-5412, or through Horton, Diana via phone (281) 684-5412.
Contact Information
Primary practice address
7219 Glen Ellen Bay
San Antonio TX 78244-1757
Phone: (281) 684-5412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 637553 | Texas |
| Ambulatory Health Care Facilities / Pain | 261QP3300X | 637553 | Texas |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 637553 | Texas |
Profile Details
| NPI number | 1285160853 |
|---|---|
| LBN Legal business name | Cryo Body Shape |
| DBA Doing business as | |
| Authorized official | Horton, Diana REGISTERED NURSE RN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2017 |
| Last updated | May 2nd, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285160853 | NPPES |
| Texas | MEDICAID | 261Q0000X | |
| Texas | MEDICAID | 224X000000X | |
| Texas | MEDICAID | 261QP2000X |
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