Individual
HEATHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(855) 481-1149
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(855) 481-1149
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT82248
STATE LICENSING
TX
Enumeration date
09/10/2018
Last updated
04/29/2022
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