Organization
NUTRITION GENESIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY RODRIGUEZ MS, RD, LD (PRESIDENT)
(682) 244-2729
Entity
Organization
Contact information
Practice address
600 W 6TH ST 4TH FLOOR, SUITE 400, FORT WORTH, TX 76102-3684
(682) 244-2729
Mailing address
204 VICTORIAN DR, FORT WORTH, TX 76134-4616
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
07/09/2025
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