Organization
BACK2BASICS FUNCTIONAL NUTRITION
Active
Other names
Back2Basics by Niti
Organization subpart
No
Provider details
NPI number
Authorized official
NITI SHAH (OWNER)
(214) 454-2278
Entity
Organization
Contact information
Practice address
3365 REGENT BLVD STE 130, IRVING, TX 75063-3127
(972) 514-7956
(972) 366-7946
Mailing address
3365 REGENT BLVD STE 130, IRVING, TX 75063-3127
(972) 514-7956
(972) 366-7946
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
04/13/2026
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