| Taryn Celeste Prado, RD | |
|
15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | |
| (210) 666-9905 | |
| Not Available |
| Full Name | Taryn Celeste Prado |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 15303 Huebner Rd Ste 15, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578114104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | DT85499 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | DT85499 (Texas) | Primary |
| Provider Name | Fuel For Life |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629675483 PECOS PAC ID: 0143635680 Enrollment ID: O20210216001669 |
| Mailing Address | Practice Location Address |
|---|---|
| Taryn Celeste Prado, RD 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 Ph: (210) 666-9905 | Taryn Celeste Prado, RD 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 Ph: (210) 666-9905 |
Phillip W Kostroun, REGISTERED DIETITIAN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5107 Medical Dr, San Antonio, TX 78229 Phone: 210-614-8612 Fax: 210-615-5596 | |
Ms. Leticia Gutierrez, MS.RD.LD. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Concord Plaza Drive, Suite 430, San Antonio, TX 78216 Phone: 210-477-9242 | |
Mrs. Kaylyn Pratt Randall, PA Dietitian Medicare: Medicare Enrolled Practice Location: 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229 Phone: 210-541-8281 Fax: 210-541-9123 | |
Sarah Treat, MS, CCN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16535 Huebner, Suite 112, San Antonio, TX 78248 Phone: 210-455-7892 | |
Julia Ou, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 646 S Flores St, San Antonio, TX 78204 Phone: 210-938-8000 | |
Ms. Karen Elizabeth Smith, MS, RD, CSO, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2438 Rogers Loop, San Antonio, TX 78258 Phone: 609-851-4469 | |
Mrs. Ashley Schmidt, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 18911 Hardy Oak Blvd Ste 259, San Antonio, TX 78258 Phone: 210-201-6551 Fax: 877-850-5662 |