# EC PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sculpt
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609178292
- **Authorized official:** DR. EDDIE L CERDAY M.D. (M.D./ PRESIDENT)
- **Authorized official phone:** (210) 495-0086

## Contact information

- **Practice address:** 540 MADISON OAK STE 140, SAN ANTONIO, TX 78258-3919
- **Practice address phone:** (210) 495-0086
- **Practice address fax:** (210) 495-0801
- **Mailing address:** 540 MADISON OAK STE 140, SAN ANTONIO, TX 78258-3919
- **Mailing address phone:** (210) 495-0086
- **Mailing address fax:** (210) 495-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5019 | TX | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | F9289 | TX | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010