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LIFESCULPT LLC NPI 1235847054


NPI Information

NPI: 1235847054
Provider Name: LIFESCULPT, LLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
5214 RADIANT LN
KATY, TX
ZIP 77493
Phone: (615) 753-7966
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LIFESCULPT, LLC is an addiction medicine psychiatry neurology in Katy, TX. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine LIFESCULPT, LLC NPI is 1235847054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5214 RADIANT LN
KATY, TX
ZIP 77493-174
Phone: (615) 753-7966
Fax: (615) 915-3436

The provider's authorized official is Roger Starner Jones .
The authorized official title is Founder and has the following contact phone number (615) 753-7966.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 11/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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