| Vital Nutrition 12 Llc | |
|
1551 Greens Prairie Rd W Ste 101a, College Station, TX 77845-8666 | |
| (818) 726-3495 | |
| Not Available |
| Full Name | Vital Nutrition 12 Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1551 Greens Prairie Rd W Ste 101a, College Station, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851048375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Sahar Fayad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548746290 PECOS PAC ID: 7517218001 Enrollment ID: I20220812002112 |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Nutrition 12 Llc 1551 Greens Prairie Rd W Ste 101a, College Station, TX 77845-8666 Ph: (979) 465-7618 | Vital Nutrition 12 Llc 1551 Greens Prairie Rd W Ste 101a, College Station, TX 77845-8666 Ph: (818) 726-3495 |
Monica Shields, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4187 | |
Taylor Cyrus, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 311 Houston St., College Station, TX 77843 Phone: 979-458-4584 | |
Katie Ann Venuti, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 796-913-5279 | |
Meghan Windham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1264 Tamu, College Station, TX 77843 Phone: 979-458-8300 | |
Callie Lela Kirsch, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3206 Longmire Dr Ste A7, College Station, TX 77845 Phone: 830-660-4354 | |
Emily Morris, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3919 Lienz Ln, College Station, TX 77845 Phone: 817-718-4545 | |
Santiago Capetillo Gutierrez, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6336 Darlington Ave, College Station, TX 77845 Phone: 936-349-6546 |