| Smart Plate Nutrition, Llc | |
|
8330 Lyndon B Johnson Fwy, Suite B650, Dallas, TX 75243 | |
| (469) 619-6921 | |
| (800) 888-9560 |
| Full Name | Smart Plate Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 8330 Lyndon B Johnson Fwy, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518105857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT07290 (Texas) | Primary |
| Provider Name | Martha L Mchenry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144245309 PECOS PAC ID: 3476585449 Enrollment ID: I20050910000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Plate Nutrition, Llc 8330 Lyndon B Johnson Fwy, Suite B650, Dallas, TX 75243-1166 Ph: (469) 619-6921 | Smart Plate Nutrition, Llc 8330 Lyndon B Johnson Fwy, Suite B650, Dallas, TX 75243 Ph: (469) 619-6921 |
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