Individual
MEGAN GUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFMP, FNTP
Contact information
Practice address
308 N FLAT ST, WAXAHACHIE, TX 75165-3306
(972) 623-8589
Mailing address
308 N FLAT ST, WAXAHACHIE, TX 75165-3306
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
3092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3092
NTA
TX
Enumeration date
05/25/2022
Last updated
05/25/2022
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