Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Wellness Center Inc

Organization Registered Dietitian · NPI 1124583349

Crystal Wellness Center Inc is a Registered Dietitian in San Antonio, Texas. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6609 Blanco Rd Ste 335
San Antonio, TX 78216-4504
Phone: (210) 455-1779
Fax: (210) 802-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 116 Gallery Cir Ste 201, San Antonio, TX 78258-3341 — (210) 802-4695

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1124583349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Mack — Owner · (210) 802-4695
NPI enumeratedFebruary 1, 2019
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address116 Gallery Cir Ste 201, San Antonio, TX 78258-3341

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