| Nutrition Fundamentals Llc | |
|
204 N Jackson Ave, Justin, TX 76247-9582 | |
| (208) 739-5781 | |
| Not Available |
| Full Name | Nutrition Fundamentals Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 204 N Jackson Ave, Justin, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083141865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86052742 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Fundamentals Llc 1200 E Lamar Blvd Apt 142, Arlington, TX 76011-4222 Ph: (208) 739-5781 | Nutrition Fundamentals Llc 204 N Jackson Ave, Justin, TX 76247-9582 Ph: (208) 739-5781 |
Yarely Suide Guadalupe Euan Lopez, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16736 Porterfield Ln, Justin, TX 76247 Phone: 970-889-2630 | |
Jessica Cortez Rd Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1121 Firecracker Dr, Justin, TX 76247 Phone: 940-208-0319 Fax: 940-218-9066 | |
Heather Rowley, RD Dietitian Medicare: Medicare Enrolled Practice Location: 112 W 4th St, Justin, TX 76247 Phone: 817-727-9652 |