Sculpt
LBN: Ec Pa
Sculpt is an health care organization with primary practice located at 540 Madison Oak Ste 140 , San Antonio TX 78258-3919. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Ec Pa can be contacted via phone (210) 495-0086, or through Cerday, Eddie L via phone (210) 495-0086.
Contact Information
Primary practice address
540 Madison Oak Ste 140
San Antonio TX 78258-3919
Phone: (210) 495-0086
Fax: (210) 495-0801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5019 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | F9289 | Texas |
Profile Details
| NPI number | 1609178292 |
|---|---|
| LBN Legal business name | Ec Pa |
| DBA Doing business as | Sculpt |
| Authorized official | Cerday, Eddie L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2010 |
| Last updated | Dec 2nd, 2010 - about 14 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 | 1609178292 | NPPES |
| Tennessee | Other | F9289 | STATE LICENSE |
| Tennessee | Other | 1477525533 | STATE LICENSE |
| Tennessee | MEDICAID | 603040 | STATE LICENSE |
| Tennessee | Other | 5019 | STATE LICENSE |
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