# EAGLE APPLIED SCIENCES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE APPLIED SCIENCES, LLC
- **Other names:** Integrative Wellness and Research Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679706261
- **Legal business name:** EAGLE APPLIED SCIENCES, LLC
- **Authorized official:** DR. GUY ROBERT BANTA PHD, MPH (PRESIDENT AND CEO)
- **Authorized official phone:** (210) 477-9242

## Contact information

- **Practice address:** 225 E SONTERRA BLVD, SUITE 201, SAN ANTONIO, TX 78258-3992
- **Practice address phone:** (210) 477-2799
- **Practice address fax:** (210) 490-0017
- **Mailing address:** 200 CONCORD PLAZA DR, SUITE 430, SAN ANTONIO, TX 78216-6943
- **Mailing address phone:** (210) 477-9242
- **Mailing address fax:** (210) 581-8609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2009
- **Last updated:** 08/28/2009