is a Nutrition, Pediatric in Dallas, Texas. practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for is 1770694630. The last update date is .
's current location address is 1935 Motor St, Dallas, Texas. You can contact this provider via phone number 2144562621 and fax number 2144566287. The mailing address for is 1935 Motor St, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1935 Motor St, Dallas, Texas |
| Phone Number | 2144562621 |
| Fax Number | 2144566287 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770694630 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1935 Motor St |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752357701 |
| Phone Number | 2144562621 |
| Fax Number | 2144566287 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | DT04538 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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