Individual
JEANNE H LOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERES DIETITIAN
Contact information
Practice address
315 N SAN SABA, STE. 103, SAN ANTONIO, TX 78207-3154
(210) 738-8222
(210) 738-8644
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3700
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166298301
—
TX
01
—
94531
CARELINK
TX
Enumeration date
02/27/2007
Last updated
03/25/2010
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