Eagle Applied Sciences, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EAGLE APPLIED SCIENCES, LLC

Practice address

225 E Sonterra Blvd
Suite 201
San Antonio, TX 78258-3992

Phone

(210) 477-2799

Fax

(210) 490-0017

NPI assigned

Aug 28, 2009

Organization subpart

Yes

Parent organization

EAGLE APPLIED SCIENCES, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Guy Robert Banta, PHD, MPH

Title

President and Ceo

Phone

(210) 477-9242

Specialties & licenses 2

Addresses

Other names 1

• Integrative Wellness and Research Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leticia Gutierrez, MS.RD.LD.

  • Registered Dietitian
  • San Antonio, TX
  • NPI 1013227842

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1679706261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CONCORD PLAZA DR",
            "address_2": "SUITE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166943",
            "telephone_number": "210-477-9242",
            "fax_number": "210-581-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD",
            "address_2": "SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583992",
            "telephone_number": "210-477-2799",
            "fax_number": "210-490-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE APPLIED SCIENCES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE APPLIED SCIENCES, LLC",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "BANTA",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "210-477-9242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Wellness and Research Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Renee Eads, DPT
• Shawna L Eads, NNP
• Bonnie Elizabeth Eady, D.O.
• Kathleen Mara Eager-Ariz, LPC ASSOCIATE
• Judith H. Eager, M.MFT
• Eagle Eye Medical Solutions
• Golden Eagle
• Matthew Eagles
• Perla Eagles
• Austin Eagleton, M.D.

• Acupuncturist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.