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:
Map and Directions
Authorized official contact:
Name: Horton, Diana REGISTERED NURSE RN
Phone: (281) 684-5412

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285160853 NPPES
Texas MEDICAID 261Q0000X
Texas MEDICAID 224X000000X
Texas MEDICAID 261QP2000X

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