Organization
KIDNEY SUPPORT NUTRITION BY TOKIKO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOKIKO H PARKER RDN, LD (OWNER)
(210) 724-7561
Entity
Organization
Contact information
Practice address
812 CROSS BRANCH DR, SCHERTZ, TX 78154-2848
(210) 724-7561
(210) 898-8066
Mailing address
812 CROSS BRANCH DR, SCHERTZ, TX 78154-2848
(210) 724-7561
(210) 898-8066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417544685
—
TX
Enumeration date
01/31/2023
Last updated
06/02/2024
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