Organization
EAGLE APPLIED SCIENCES, LLC
Active
Parent organization
EAGLE APPLIED SCIENCES, LLC
Other names
Integrative Wellness and Research Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE APPLIED SCIENCES, LLC
Authorized official
DR. GUY ROBERT BANTA PHD, MPH (PRESIDENT AND CEO)
(210) 477-9242
Entity
Organization
Contact information
Practice address
225 E SONTERRA BLVD, SUITE 201, SAN ANTONIO, TX 78258-3992
(210) 477-2799
(210) 490-0017
Mailing address
200 CONCORD PLAZA DR, SUITE 430, SAN ANTONIO, TX 78216-6943
(210) 477-9242
(210) 581-8609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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