BLUE DIAMOND MED SPA
NPI 1922483205
Nurse Practitioner - Family in San Antonio, TX

Active since July 28, 2015
104 GALLERY CIR, STE 126, SAN ANTONIO, TX 78258(210) 494-2820(210) 494-2002 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Diamond Med Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE DIAMOND MED SPA (NPI 1922483205) is a healthcare organization registered as a family in San Antonio, Texas and active in the NPI registry since July 2015. The organization lists Jonas Crafts, Owner, as its authorized official.

NPPES Registry Identity

NPI1922483205
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRIVILEGE, LLC
Location Address104 GALLERY CIR, STE 126San Antonio, TX 78258-3329
Mailing Address104 Gallery Cir, Ste 126San Antonio, TX 78258-3329 · (210) 494-2820 · Fax (210) 494-2002
Fax(210) 494-2002
Organization SubpartNo
Authorized OfficialJonas CraftsOwner · (210) 494-2820
Enumeration DateJuly 28, 2015
NPI 1922483205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
104 GALLERY CIR, San Antonio, TX 78258

Other Names 1

Doing Business AsBlue Diamond Med Spa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
104 GALLERY CIR, SUITE 120
SAN ANTONIO, TX 78258
Specialist
104 GALLERY CIR, SUITE 126
SAN ANTONIO, TX 78258
Clinical Medical Laboratory
104 GALLERY CIR
SAN ANTONIO, TX 78258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privilege, LLC's NPI number?

The NPI number for Privilege, LLC is 1922483205. It was assigned to this organization in the NPPES registry on July 28, 2015. The provider is doing business as Blue Diamond Med Spa.

Where is Privilege, LLC located?

Privilege, LLC is located at 104 Gallery Cir Ste 126, San Antonio, TX 78258. The listed phone number is (210) 494-2820.

What is Privilege, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Privilege, LLC was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.