| Up4 Nutrition | |
|
3417 Spectrum Blvd, Richardson, TX 75082-9705 | |
| (469) 471-1988 | |
| Not Available |
| Full Name | Up4 Nutrition |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3417 Spectrum Blvd, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942662283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| 305R00000X | Preferred Provider Organization | DT07722 (Texas) | Secondary |
| Provider Name | Uzma W Khan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649459405 PECOS PAC ID: 7517269731 Enrollment ID: I20160105002883 |
| Mailing Address | Practice Location Address |
|---|---|
| Up4 Nutrition 4405 Boulder Drive, Parker, TX 75002 Ph: (469) 471-1988 | Up4 Nutrition 3417 Spectrum Blvd, Richardson, TX 75082-9705 Ph: (469) 471-1988 |
Amber M Murphy, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 Phone: 214-676-8263 Fax: 214-571-4546 |
Johnna R Hartenstine, MCN,RDN,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy Ste 409, Richardson, TX 75080 Phone: 214-838-8237 |
Ms. Jo R Havens, D.T. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1701 N Collins Blvd, Suite 100, Richardson, TX 75080 Phone: 469-385-4900 Fax: 469-385-4265 |
Sotear Tep, MPH, RDN/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 805 Rayeed Ave, Richardson, TX 75081 Phone: 214-714-7389 |
Ms. Gay Riley, MS, RD, CCN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1510 Braeburn Dr, Richardson, TX 75082 Phone: 800-692-9711 |
Noel Barrilleaux, RDN, LD, CSSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy Ste 409, Richardson, TX 75080 Phone: 214-838-8237 |
Dietgenics Nutrition Consulting Limited Liability Company Dietitian Medicare: Medicare Enrolled Practice Location: 1900 Jay Ell Dr, Richardson, TX 75081 Phone: 972-664-0846 Fax: 972-744-0726 |