Crystal Wellness Center Inc

LBN: Crystal Wellness Center Inc
Crystal Wellness Center Inc is an health care organization with primary practice located at 6609 Blanco Rd Ste 335 , San Antonio TX 78216-4504. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Crystal Wellness Center Inc can be contacted via phone (210) 455-1779, or through Mack, Lawrence via phone (210) 802-4695.

Contact Information

Primary practice address
6609 Blanco Rd Ste 335 San Antonio TX 78216-4504
Phone: (210) 455-1779
Fax: (210) 802-4698
Website:
Map and Directions
Authorized official contact:
Name: Mack, Lawrence
Phone: (210) 802-4695

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1124583349
LBN Legal business name Crystal Wellness Center Inc
DBA Doing business as
Authorized official Mack, Lawrence
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2019
Last updated Aug 19th, 2024 - about 2 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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