| Lifesculpt, Llc | |
|
5214 Radiant Ln Katy TX 77493-3174 | |
| (615) 753-7966 | |
| (615) 915-3436 |
| Full Name | Lifesculpt, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 5214 Radiant Ln, Katy, Texas |
| Authorized Official Name and Position | Roger Starner Jones (FOUNDER) |
| Authorized Official Contact | 6157537966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesculpt, Llc 5214 Radiant Ln Katy TX 77493-3174 Ph: (615) 753-7966 | Lifesculpt, Llc 5214 Radiant Ln Katy TX 77493-3174 Ph: (615) 753-7966 |
| NPI Number | 1235847054 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235847054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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