| Bodyspec | |
|
5555 N Lamar Blvd Ste L131 Austin TX 78751-1068 | |
| (719) 360-6500 | |
| Not Available |
| Full Name | Bodyspec |
|---|---|
| Speciality | Clinic/center |
| Location | 5555 N Lamar Blvd Ste L131, Austin, Texas |
| Authorized Official Name and Position | Jason Edward Belvill (COO) |
| Authorized Official Contact | 7193606500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodyspec 5555 N Lamar Blvd Ste L131 Austin TX 78751-1068 Ph: (719) 360-6500 | Bodyspec 5555 N Lamar Blvd Ste L131 Austin TX 78751-1068 Ph: (719) 360-6500 |
| NPI Number | 1699400176 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699400176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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